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AFFORDA-TEST <br /> E . O . G-70487 <br /> Aboveground Healy 400 Vapor Recovery Performance Test Report Form <br /> Permit Number: N7987 Test Company: AFFORDA TEST <br /> Site Name: SANGUINETTI BROS CIRCLE K SHELL Technician : DAVID WINK LER <br /> Site Address : 4391 ESCALON BELLOTA RD Certification Number Expiration Date <br /> City : FARM1NGT0N CA Zip : District: SJVAPCD-N <br /> Date/Time of Test: 9-30-09 3PM <br /> VAPOR RETURN LINE VACUUM INTEGRITY TEST <br /> Diameter of vapor return line (in inches) 2 <br /> Length of the vapor return line rounded to the nearest 20 ft. (N) 450 <br /> Calculated allowable change in pressure, AP (AP = 800/N for 2" line and 800IN x 0 .5 for 3 " line) 2 <br /> Vacuum at start of test, inches of water column (in. w.c.) <br /> Vacuum at one minute, in. w.c. <br /> Vacuum at two minutes, in. w.c. <br /> Vacuum at three minutes, in. w.c. <br /> Vacuum at four minutes, in. w. c. <br /> Final vacuum at five minute, in. w. c. <br /> Allowable minimum vacuum, in. w. c (Initial vacuum — calculated ❑P) <br /> Pass / Fail passed <br /> FILLNECK VAPOR PRESSURE REGULATION FUELING TEST <br /> (range +0 .25 to —0 . 50 in . w. c. <br /> Nozzle # 1 Nozzle #3 Nozzle #5 Nozzle 47 - 930 <br /> Nozzle #2 Nozzle #4 Nozzle #6 Nozzle #8 <br /> System vacuum when dispensing (magnehelic reading) <br /> I declare, under penalty 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 true, accurate, and complete. <br /> Signature of Technician : Date : 9 - 30 - 09 <br /> Ver. 11 — 08 .05. 08 <br />