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10/17/2003 16:36 2097 18 <br />07/14/2003 RON 15:21. FAX <br />USA 835 <br />2705 Country Club Dr. <br />Stockton. CA <br />Permit to Operate # <br />F�ceevtive Order <br />USA 4 <br />SOURCE <br />,. ■ <br />Number of Nozzles Served by Tank # 1 <br />Number of Nozzles Served by Tank # 2 <br />District Inspector: <br />PAGE .09 <br />■ <br />Healy <br />Other <br />Operating <br />8 Numt*r of Nozzles ., <br />Numberof Nozzles Served <br />Total ._NoWes 24 <br />Nitrogeni�y�pe of (3�tjge: 0 Manometer C3 Mechanical 0 Digital Date of last (;allbration: <br />Comments:Vapor Coupler integrity Test Pass Fall NA <br />Source Test Results and <br />1. Product Grad Regular <br />2. Actual Tank Capacity in Gallons <br />3, Gasoline Volume 9613 <br />4. Uliage, Gallons (#2•03) 2435 <br />5, initial Pressure, inches H2O 2.68 <br />6. Pressure After 1 Minute, inches M24 2.68 <br />7. Pressure After 2 Minutes, inches H2O 2.68 <br />$. Pressure After 3 Minutes, inches H2O 2,68 <br />9. Pressure Atter 4 Minutes, Inches H2O 2.68 <br />10. Final pressure After 5 Minutes, inches H2O 2,68 <br />11. Allowable Final Pressure Q Pass Fall 0 <br />Test Conducted By- I Test Company: Wayne Perry <br />Plus ( Premium <br />Date of Test: July 9, 2003 <br />Tester Certification # I Confirmation #: I Signature <br />