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ffarda- 1 416 211 Street Phone:(209)744-0112 <br /> Galt,Ca 95632 Fax:(209)744-0116 <br /> afforda softcom.net <br /> E.O.VR-201/202 <br /> Vapor-to-Liquid(V/L)Volume Ratio Test Report Form <br /> Permit Number:N-2477-2-3 CONF# 18-25625 Test company:AFFORDA-TEST <br /> Site Name:S B GAS + MARKET Technician: ZANE NIMMO <br /> Site Address:515 W 11th STREET <br /> city: TRACY zip:95376 District:S J V A P C D 0083 <br /> Date/Time of Test:7/11/2018 Franklin(Healy):0563743702 1/8/2019 <br /> INFORM, J19W" <br /> Gas volume meter type (i.e., Roots meter or Tri-Tester) TRI TESTER <br /> Gas volume meter serial or identification number: 914644 <br /> Tri-Tester software version,if applicable(must be version 2.01) 2.96/2.01/DR <br /> Calibration date for Gas volume meter(must be within 180 days of the test) 2/20/2018 <br /> Gas volume meter correction factor,y(Roots meter) 0.996 <br /> Pre-test leak check for Roots meter: Initial pressure: 30 sec.pressure: Pre-test leak check for Tri-tester:FLAT Re-inflate in 30 sec.❑Yes®No <br /> Post-test leak check for Roots meter: Initial pressure: 30 sec.pressure: Post-test leak check for Tri-tester:FLAT Re-inflate in 30 sec.❑Yes®No <br /> ...Initial Flnai :�"'""" _ <br /> ,. ;. Initial Meter, s= <br /> [ 'diel&serial Dispenser Dispenser Dispensing t t ( F I( <br /> • 70. Reading Reading �',Rafe (gal_) Rea g 1ft3) <br /> r dV <br /> (gal.),G. <br /> - r <br /> 1 87 HEALY 900 0.000 2.000 2.000 -- 7.32 -- -- 1.07 PASS <br /> 89 7.01 1.05 PASS <br /> 91 6.91 1.09 PASS <br /> 2 87 7.11 1.05 PASS <br /> 89 7.11 1.09 PASS <br /> 91 6.91 1.09 PASS <br /> 1 declare, under penalty of perjury under the laws of the state of California that based on information and belief formed after reasonable inquiry, the statements and ir�brtion <br /> provided in the document are true,accurate,and complete. < D " <br /> © � <br /> n v <br /> M <br /> Signature of Technician: Date: 711112018 Z o a <br /> Ver. 1.0—12.26.07 <br />