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E.O. VR-202 <br /> INCON In-Station Diagnostics Vapor Pressure Sensor Offset Check Test Report Form <br /> Permit Number. Test Company.B.Z.Service Station Maintenance,Inc. <br /> Site Name: Technician: 5 <br /> Site Address: <br /> City: 64 fAA k I LA Zip: District 2 j 2?`(' <br /> DatelTime of Test 1 _ ., <br /> :.....,• <br /> VAhOtAR SSURE��EN50�t- 1''CHECK1 <br /> ;� >7777 gz <br /> Pressure sensor located at dispenser number(s) <br /> Pressure sensor number <br /> INCON VRM pressure sensor value,inches of water column(in.w.c.) <br /> Is pressure value between-0.10 and+0.10 in.w.c.? -� <br /> NOTES: 'Valve must be returned to normal operating position after testing is completed. <br /> 2The calibration port plug must be In place after testing Is completed. <br /> !dedare, under penalty of perjury under the laws of the state of Califomia that based on information and belief formed after reasonable <br /> inquiry, the statements and information provided in the document are true, accurate, and complete. <br /> Signature of Technic Date: <br /> �,2-� � <br /> Ver. 1.0— 12.26.07 <br />