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NOZZLE BAG TEST RESULTS <br /> SOURCE INFORMATION TEST COMPANY INFORMATION <br /> Facility (DBAYSite Address: Facility Representativefride: Test Company Name/Address <br /> #of Nozzles: <br /> BZ Maint #Nozzles Tested: <br /> Print Name Print Name Print Name <br /> #Nozzles Passed: <br /> 1 S 54 630 Houston St <br /> Sit Address Title Street Address #Nozzlcs Failed: <br /> QG3 3`7 W.Sac. 95691 #Nozzles not Tested:_ <br /> city zip Phone No. City zip <br /> District Inspector. ❑P/O ❑S/A ❑A/C Date of Test: Time of Test: <br /> Number �� <br /> Dispenser Gas Grade Nozzle Type Bag Collapse after 30 seconds <br /> (, v ❑ Yes It No <br /> ❑ Yes OD No <br /> 7� ❑ Yes ;6 No <br /> ❑ Yes Circ`No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes 11 No <br />