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fforda-Te t 416 2nd Street <br /> Galt, CA 95632 <br /> (209) 744-0113 Fax (209) 744-0116 <br /> E.O.VR-203/204 <br /> Vapor Pressure Sensor Verification Test & VST Processor Activation Pressure <br /> Test Report Form <br /> Test Company: AFFORDA TEST <br /> Permit Number:N-3451 4162 ND STREET GALT, CA 95632 <br /> 209-744-0113 FAX 209-744-0113 <br /> Site Name:EL DORADO GAS MART Technician: FELIX RAMIREZ <br /> Site Address: 1605 S ELDORADO ST Certification Number/Expiration Date <br /> City: STOCKTON CA Zip: 95206 District: 0099 <br /> Date/Time of Test: 05-28-20 VST: 3001003870 <br /> Veeder-Root:B34976 <br /> No TEST INFORMATION <br /> Pressure sensor located at dispenser number(s) PV VENT <br /> Pressure sensor serial number 8535 <br /> Calibration date for digital manometer(must be within 12 months of the test) 03-01-20 <br /> Ending value for digital manometer drift test(must be 0.01 in.w.c. or less) 0 <br /> VAPOR PRESSURE SENSOR UST PRESSURE TEST <br /> UST pressure from digital manometer(in.w.c.) 2.00 <br /> Pressure sensor value from TLS-350(in.w.c.) 2.043 <br /> Is Pressure Value Between-0.20 and+0.20 in.w.c.? PASS <br /> WWAPOR PRESSURE SENSOR AMBIENT REFERENCE TEST1,2 <br /> Non-calibrated pressure sensor value from TLS-350(in.w.c.) 0.041 <br /> Is pressure value between-0.20 and+0.20 in.w.c.? .PASS <br /> VST PROCESSOR ACTIVATION PRESSURE TEST 1,2 <br /> VST processor activation pressure(in.w.c.) NA <br /> Is the VST processor activation pressure<0.4 in.w.c.? NA <br /> NOTES: 'Valve must be returned to normal operating position after testing is completed. <br /> 2The ambient reference port cap must be in place after testing is completed. <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: 05-28-20 <br /> Ver. 1.3—12.13.08 <br />