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Afforda-Te <br />"d <br />ea Dispenser Vapor <br />qMne <br />4162 Street Galt, 5632 <br />Integrity <br />209 744-0112 Fax 209 744-0116 <br />Test Date: 8-13-2009 Time: 1030 <br />Site: STOCKTON GATEWAY 76 <br />Address: 322 S CENTER ST <br />GDF # N4419-1-3 Confirmation 09-10051 <br />City: STOCKTON CA <br />❑ Startup ® Compliance <br />Technician: David Winkler #0082 Exp. 02/27/2010 <br />1 declare, under penalty of perjury under the laws of the state of California that based on information and beliefformed after reasonable inquiry, the statements and <br />information provided in the document true, accurate and complete. <br />Tech Signature: <br />Healy Cert: 5167383760 Exp. 7/11 /10 <br />Pump# 1-2 <br />Motor Serial # <br />Pump# 3-4 <br />Motor Serial # <br />Vacuum Pressure Test : <br />Vacuum Pressure Test: <br />Initial Reading .80 Final Reading .80 <br />Initial Reading _79 Final Reading .78 <br />Vacuum Dispensing Test Side A YES <br />Vacuum Dispensing Test Side A YES <br />Vacuum Dispensing Test Side B <br />Vacuum Dispensing Test Side B <br />Vacuum Test Both Side A&B <br />Vacuum Test Both Side A&B <br />Electric Button Test — All grades turn on now & high <br />Electric Button Test — All grades turn on now & high <br />speed: <br />speed: <br />® Yes ❑ No <br />®Yes ❑ No <br />Pump# 5-6 <br />Motor Serial # <br />Pump# 7-8 <br />Motor Serial # <br />Vacuum Pressure Test : <br />Vacuum Pressure Test : <br />Initial Reading .81 Final Reading .81 <br />Initial Reading .80 Final Reading .80 <br />Vacuum Dispensing Test Side A YES <br />Vacuum Dispensing Test Side A YES <br />Vacuum Dispensing Test Side B <br />Vacuum Dispensing Test Side B <br />Vacuum Test Both Side A&B <br />Vacuum Test Both Side A&B <br />Electric Button Test — All grades turn on now & high <br />Electric Button Test — All grades turn on now & high <br />speed: <br />speed: <br />®Yes ❑ No - <br />®Yes ❑ No <br />Pump#9-10 <br />Motor Serial # <br />Pump# 11-12 <br />Motor Serial # <br />Vacuum Pressure Test : <br />Vacuum Pressure Test <br />Initial Reading .81 Final Reading .81 <br />Initial Reading .79 Final Reading .79 <br />Vacuum Dispensing Test Side A YES <br />Vacuum Dispensing Test Side A YES <br />Vacuum Dispensing Test Side B <br />Vacuum Dispensing Test Side B <br />Vacuum Test Both Side A&B <br />Vacuum Test Both Side A&B <br />Electric Button Test — All grades turn on now & high <br />Electric Button Test — All grades turn on now & high <br />speed: <br />speed: <br />® Yes [:]No <br />® Yes ❑ No <br />