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®GETTLER-RYAN INC. Exhibit H GR Job# 22200026 <br /> Required Items in Conducting P-201.3 <br /> (Executive Orders VR-201-M and VR-202-M) <br /> The instructions below are required when conducting TP-201.3 for these systems. The <br /> tester shall document that each step was followed as indicated below and shall include <br /> this page of the Exhibit with the submission of TP-201.3 test results. Note that districts <br /> may require use of an alternate form to meet these requirements, provided the alternate <br /> form includes the same minimum parameters. <br /> 1. Prior to conducting TP-201.3, all four ball valves on the Healy Clean Air <br /> Separator (CAS) shall be closed, as shown in Figure 1 or Figure 1H, to isolate it <br /> from the Underground Storage Tank (UST) system to permit the pressurization <br /> of the UST system. Figure 1 applies to vertical CAS installations and figure 1H <br /> applies to horizontal CAS installations. <br /> 2. Conducting TP-201.3 with any dispenser piping test valve in the closed position <br /> isnot permitted. Any dispenser with a dispenser—piping test—valve—in the closed <br /> position while conducting TP-201.3 will bias the test towards compliance. <br /> 3. After conducting TP-201.3, the four ball valves on the Healy Clean Air Separator <br /> (CAS) shall be locked in their normal operating positions as shown in <br /> Figure 213-2 or 213-21-1, Exhibit 2 of Executive Orders VR-201-M and VR-202-M. <br /> Figure 213-2 applies to vertical CAS installations and Figure 213-21-1 applies to <br /> horizontal CAS installations. <br /> Required Steps Verification <br /> (please check Yes or Noy <br /> 1.All four CAS ball valves closed before conducting TP-201.3 <br /> ❑✓ Yes 7No <br /> 2.All dispenser piping test valves open before conducting <br /> TP-201.3 Eyes 1:1 No <br /> 3.All four CAS ball valves in normal operating position after <br /> conducting TP-201.3. Eyes 0No <br /> Testing Company: Gettler-Ryan Inc. Facility Name: Arco 21ee <br /> Matthew Campbell 7 1/26/2022 <br /> Print Name(Technician) Signature�✓ Date <br /> 8716947, Exp. 4/10/2023 <br /> Technician Certification Number and Expiration Date <br /> (ICC or District Training Certification,as Applicable) <br /> Items Required in Conducting TP-201.3, Exhibit 8-Executive Orders VR-201-M and VR-202-M <br />