Laserfiche WebLink
Parkwood Gas& Food 2 98888157 p.13 <br /> I <br /> 7 D <br /> V <br /> 416 2 d Street <br /> A,Lffioi r d a—Ale$t Gait, CA 95632 J U L 2, 5 ]IJ <br /> (209) 744-0113 Fax (2�?),,, j4AL <br /> 4 <br /> E.O.VIR-203/204 <br /> Vapor Pressure Sensor Verification Test & VST Processor Activation Pressure <br /> Test Report Form <br /> Test Company: AFFORDA TEST <br /> Permit Number 17-24282 416 2NI3 STREET GALT, CA 95632 <br /> 209-744-0113 FAX 209-744-0113 <br /> Site Name: Tiwana Gas&Food Valero Technician:Felix G, Ramirez <br /> Site Address: 1210 HAMMER LANEIT <br /> City: STOCKTON CA Zip:95213 oistria: 0099 Select Exp.Date <br /> Date/Time of Test:09-12-17 VST- 1361 <br /> ' 2MU <br /> Veeder-Root: B34976 <br /> g <br /> w" <br /> M <br /> W1 <br /> Pressure sensor located at dispenser number(s) P.V.VENT <br /> Pressure sensor serial number 8753 <br /> Calibration dale for digital manometer(must be within 12 months of the test) 06-15-17 <br /> ceding value for digital manometer drift test(must be 0.01 in.w.c.or less) 0 <br /> LST pressure from digital manometer(in.�v.c.) 2.00 <br /> Pressure sensor value from TLS-350 (in, w.c.) 2,032 <br /> Is Pressure Value Between-0,20 and+0.20 in.w.c.? PASS <br /> a <br /> W <br /> M <br /> Non-calibrated pressure sensor value from TLS-350(in.w.c.) 0.016 <br /> Is pressure value between-0.20 and+0.20 in. w.c.? PASS <br /> VST processor activation pressure(in.w.c.) NA <br /> is the VST processor activation pressure<_0.4 in. w.c.? NA <br /> NOTES: IValve must be returned to normal operating position after testing is completed. <br /> 2The ambient reference port cap must be in place after testing is completed. <br /> I declare, under penalty of perjury under the laws of the state of California that based on information and belief formed <br /> after reasonable inquiry, the statements and information provided in this document are true, accurate, and complete. <br /> —.-nature of Technician: Date: 09-12-17 <br /> Received Time Jul, 25, 2018 10 :46AM No. 3918 <br />