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A <br /> San Joaquin VHEALTHY AIR LIVING' <br /> www.health miriiYin .cam <br /> Y 9 <br /> AIR POLLUTION CONTROL DISTRICT Make one change for clean air! <br /> TP-201.6C or EVR Liquid Removal Test <br /> Liquid Removal Rate Report Form <br /> Permit Number:N-3451 Test Company: AFFORDA TEST <br /> Site Name:EL DORADO GAS MART Technician: FELIX RAMIREZ <br /> Site Address: 1605 E DORADO STREET Certification Number: 0099 Expiration Date: 2022 <br /> City: STOCKTON CA Zip: 95206 District: 0099 2022 <br /> Date/Time of Test: 05-28-20 VST(if applicable): 3001003870 2020 <br /> TEST INFORMATION <br /> Phase II <br /> or recovery system executive order: ❑ G-70-52(Pre-Phase II EVR balance for AST&UST) X VR-203/204(VST Phase II EVR balance) <br /> EVR Short Dispensing VI—VW—VF <br /> ** <br /> Version VI G T Rate VF Wi Wr VW G <br /> Nozzle Fuel Pass/Fail <br /> Number Grade Volume of Gas added to hose Gallons Time to G x 60 Gas drained Gas introduced Gas Liquid removal <br /> Gas drained (150—175 ml) dispensed dispense T after after dispensing recovered wi-Wr rate(ml/gal) <br /> from hose(ml) (sec.) dispensing (150—175 ml) <br /> 1 ALL 0 PASS <br /> 2 ALL 0 PASS <br /> 3 ALL 0 PASS <br /> 4 ALL 0 PASS <br /> 5 ALL 0 PASS <br /> 6 ALL 0 PASS <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 statements and <br /> information provided in this document are true, accurate, and complete. <br /> Signature of Technician: Date: 05-28-20 <br /> **NOTE: For EVR systems—Prior to the Leak Decay Test,if the liquid drained from the hose is<25 ml,record the amount in the EVR short version column,mark the <br /> test as pass,and no further testing is required. <br /> Ver. 1.5—08.20.14 <br />