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nucleus pump services <br /> 601 1st Ave, Suite B <br /> Sacramento , CA 95818 <br /> Phone : 916 - 382 -4761 <br /> NOZZLE BAG TEST RESULTS Fax : 707- 638 - 0484 <br /> SOURCE INFORMATION TEST COMPANY INFORMATION <br /> Facility (DBA)/Site Address: Facility Representative/Title : Test Company Name/Address # of Nozzles : <br /> CHEVRON Nucleus Pump Services <br /> # Nozzles Tested: <br /> Print Name Print Name Print Name <br /> 601 1St Ave, # Nozzles Passed: <br /> 10878 N , HWY 99 Suite B <br /> Street Address Title Street Address # Nozzles Failed: <br /> STOCKTON 95212 Sacramento , CA 95818 <br /> ( ) # Nozzles not Tested: <br /> City Zip Phone No. City Zip <br /> District Inspector: ❑ P/0 ❑ S/A ❑ A/C Date of Test: Time of Test: <br /> Number: <br /> Dispenser Gas Grade Nozzle Type Bag Collapse after 30 Seconds <br /> ❑ Yes 11 No <br /> ❑ Yes El No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes El No <br /> ❑ Yes ❑ No <br /> ❑ Yes 0 N <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> i <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> El Yes El No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> ❑ Yes ❑ No <br /> El Yes ❑ No <br /> ❑ Yes ❑ No <br /> Nozzle Bag Test Procedure , Exhibit 7 — Executive Orders VR- 201 - G and VR - 202 - G <br />