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v <br />k <br />ofd <br />HEALTHY AIR LIVI <br />yr>° w. Ilea IIttyai(iivinB.can) <br />make one change for clean air! <br />VR -201/202 <br />Vapor -to -Liquid (V/L) Volume Ratio Test Report Form <br />Permit Number. N-805-2-3 <br />Test Company: SERVICE STATION TESTING � <br />Site Name: City of Stockton - Corp Yard <br />Tecbnician: CFERRUCCi <br />Site Address: 1465 S. Lincoln St. <br />Certification Number Expiration Date <br />City. Stockton Zip: 95206 <br />District: SJV-0163 <br />Date/Tinie of Test: 5-11-124900 <br />Franklin (Healy): 473826701 <br />I declare, tender penalty of penury under th Imus of the tate OfCalifornia that based on information and belief formed after reasonable inquiry, the <br />statements and information provi s docume are true, accurate, and complete. <br />Signature of Technician: Date: <br />vw. 1. — 0"W709 <br />TEST PMRMATION <br />Gas volume meter type (La, Roots meter or Tri -Tester) <br />Tri Tester <br />Gas volume meter serial or identiftcatiou number: <br />531993 <br />Tri Tester software version, if applicable (inustbe version 2.01) <br />2.01 <br />t <br />Calibration date for ft volume meter (must be within 180 days of the test) <br />1-9-12 <br />Gas volume meter cotmction factor, Y (Ro= meter) <br />- <br />Pre-test leap check for Roots meter pressure: <br />0 sec. pressure <br />Pre-test leak check far Tri -tester <br />-inflate in <br />30 sec. 13 Yes 0 No 1 <br />Post-test leak check for Roots water. tial pressure: <br />0 sec. pressure: <br />Post-test leak check for Tri -tester. <br />inflate iu <br />30 sec. 0 Yes 0 No <br />Nozzle Fuel Nozzle Model & <br />Number Grade Serial No. <br />Initial Final <br />Dispenser Dispenser <br />Reading � <br />(�). Gi (PL). G: <br />Total Gas <br />Dispensed <br />Initial Meter <br />Tine Dispensing <br />(sec) Rate (gal.) Reading (ft), <br />Final Meter <br />Reading <br />�� V/L <br />n <br />` Pass/Fail <br />(P ) <br />1 87 4008-0129 <br />6.87 <br />1.06 <br />7 P <br />2 87 3409-0207 <br />7.89 <br />.89 <br />1 F ' <br />2 87 3409-0207 <br />7.89 <br />1.05 <br />P I <br />5 87 4008-0131 <br />6.76 <br />1.08 <br />P <br />6 87 4110-0256 <br />6.76 <br />1.09 <br />P <br />I declare, tender penalty of penury under th Imus of the tate OfCalifornia that based on information and belief formed after reasonable inquiry, the <br />statements and information provi s docume are true, accurate, and complete. <br />Signature of Technician: Date: <br />vw. 1. — 0"W709 <br />