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E.O. VR -201/202/203/204 <br />Clean Air Separator Static Pressure Performance Test Report Form <br />Permit Number: N-262 DATE 3/31/25 <br />Test Company: NOR -CAL TANK TESTING <br />Site Name: COUNTRYSIDE CHEVRON <br />Technician: DAVID WINKLER <br />Site Address: 14971 N HIGHWAY 88 <br />Certification Number Expiration Date <br />City: LODI CA <br />Allowable minimum vacuum, in. w.c. (from shaded area below) <br />District: SJV 0082 3/31/26 <br />Vacuum at start of test, <br />in. w.c. <br />Franklin: 1009853708 01/05/27 <br />TEST INFORMATION <br />Calibration date for digital manometer (must be within 180 days of the test) 2/1/25 <br />Ending value for digital manometer drift test (must be 0.01 in. w.c. or less) 0 <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. (from shaded area below) <br />Allowable 5 -Minute Vacuum Decay for Clean Air Separator <br />Vacuum at start of test, <br />in. w.c. <br />8.0 <br />7.0 <br />6.0 <br />5.0 <br />4.0 <br />3.0 <br />2.0 <br />Minimum vacuum after <br />five min., in. w.c. <br />5.5 <br />4.7 <br />3.8 <br />3.0 <br />2.2 <br />1.5 <br />0.8 <br />POSITIVE PRESSURE TEST <br />Nitrogen introduction flow rate (must be between 2 and 4 CFM) <br />2 <br />Pressure at start of test, in. w.c. <br />2.0 <br />Pressure at one minute, in. w.c. <br />2.18 <br />Pressure at two minutes, in. w.c. <br />2.28 <br />Pressure at three minutes, in. w.c. <br />2.35 <br />Pressure at four minutes, in. w.c. <br />2.47 <br />Final pressure at five minute, in. w.c. <br />2.55 <br />Allowable minimum pressure, in. w.c. <br />1.77 <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: _ TO <br />3/31/25 <br />Ver. 1.3 — 08.07.09 <br />