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AFFORDA-TE$T <br />4162 d Street <br />Galt, CA 95632 <br />(209) 744-0112 Fax (209) 744-0116 <br />Technician: dave winkler <br />District Cert #: 0082 Exp. 2010 <br />Healy Cert #: 5166373760 Exp. 10-23-10 <br />Digital Manometer Calibration Date: 8-3-09 <br />Site Name: STOCKTON GATEWAY 76 <br />Address:322 S CENTER ST <br />City: STOCKTON CA Zip: <br />Facility Permit #: N4419-1-3 <br />Date:8-13-2009 Time: 1030AM <br />Clean Air Separator Pressure Perform nce Test Nozzle Bag Test <br />Fuel Grade: ALL <br />Nozzle Type: HEALY 900 <br />Initial Vacuum / Pressure prior to test ❑ - ® + <br />#1 PASS #7 PASS #13 #19 #25 #31 <br />1. Initial Vacuum / Pressure (W.C.) 2.0 <br />2. Vacuum / Pressure after 1 minute, inches of water: 2.10 <br />3. Vacuum / Pressure after 2 minutes, inches of water: 2.17 <br />4. Vacuum / Pressure after 3 minutes, inches of water: 2.28 <br />5. Vacuum / Pressure after 4 minutes, inches of water: 2.37 <br />6. Vacuum / Pressure after 5 minutes, inches of water: 2.46 <br />7. Allowable final vacuum: 1.77 <br />® PASS ❑ FAIL <br />#2 PASS <br />#8 PASS <br />#14 <br />#20 <br />#26 <br />#32 <br />#3 PASS <br />#9 PASS <br />#15 <br />#21 <br />#27 <br />#33 <br />#4 PASS <br />#10 PASS <br />#16 <br />#22 <br />#28 <br />#34 <br />#5 PASS <br />#11 PASS <br />#17 <br />#23 <br />#29 <br />#35 <br />#6 PASS <br />#12 PASS <br />#18 <br />#24 <br />#30 <br />#36 <br />I declare, under penalty of perjury under the laws of the state of California that based on information and belief formed after reasonable inquiry, the statemer <br />and information provided in the document are true, accurate, and complete. <br />Technician Signature: Kl-� <br />