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nucleus pump services <br /> nps <br /> 601 1st Ave , Suite B <br /> L <br /> ., Sacramento , CA 95818 <br /> It. "' Phone : 916 - 382 -4761 <br /> Fax: 707 - 638 - 0484 <br /> E . O . VR-202 <br /> Veeder - Root lIn - Station Diagnostics Vapor ]pressure Sensor Reference Fest & <br /> Site Shutdown Test Report Form <br /> Permit Number: Test Company : Nucleus Pump Services <br /> Site Name : CHEVRON Technician : Chris Bishop <br /> Site Address : 10878 N , HWY 99 Certification Number Expiration Date <br /> City : STOCKTON Zip : 95212 District: 8216429 5/4/2020 <br /> Date/Time of Test: 10/2/2019 10 : 00 AM Veeder-Root: B36744 5/6/2021 <br /> VAPOR PRESSURE SENSOR UST PRESSURE TEST <br /> Calibration date for digital manometer ( must be within 12 months of the test) 9- 15-2019 <br /> Ending value for digital manometer drift test (must be 0 .01 in. w. c . or less) 0 . 00 <br /> Digital manometer ullage pressure, inches of water column ( in. w. c.) 1 . 82 ° <br /> TLS console pressure sensor value, inches of water column ( in . w.c . ) 1 . 663 ° <br /> Is pressure value between 420 and +0 . 20 in. w. c .? Yes <br /> VAPOR PRESSURE SENSOR AMBIENT REFERENCE TEST t ,2 <br /> Pressure sensor located at dispenser number(s) 7 -8 <br /> Pressure sensor number 9774 <br /> Non-calibrated pressure sensor value, inches of water column (in . w.c.) -0 . 054 <br /> Is pressure value between -0 . 20 and +0 . 20 in. w.c .? Yes <br /> SITE SHUTDOWN TEST <br /> Test Parameter Test Result (Y/N) <br /> Was power removed from the TLS-350 console? Yes <br /> as power to the submersible pump(s) removed by the TLS -350? Yes <br /> W <br /> Was power restored to TLS-350 console? Yes <br /> COMMENTS (Include Description of Repairs Made) <br /> NOTES : 'Valve must be returned to normal operating position after testing is completed. <br /> 'The ambient reference port cap must be in place after testing is completed. <br /> 'A certified Veeder-Root technician must perform this test. <br /> I declare, under penally 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 bque, accurate, and complete . <br /> Signature of Technician : `� /�->`�r Date : 10/2 /2019 <br /> Ver. 1 . 3 - 08 , 07 . 09 <br />