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TP-201.6C Or EVR Liquid Removal Test <br /> Liquid Removal Rate Report Form <br /> Permit Number:N-633 DATE 6/13/25 Test Company:NOR-CAL TANK TESTING <br /> Site Name: PERSHING GAS FOR LESS Technician:DAVID WINKLER <br /> Site Address: 4445 N PERSHING Certification Number: 0082 Expiration Date: 3/31/26 <br /> City: STOCKTON CA District: SJV 0082 3/31/26 <br /> VST(if applicable): 0774 10/16/24 <br /> TEST INFORMATION <br /> Phase II vapor 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 VI G T VF Wi Wr VW Dispensing VI—VW—VF <br /> Nozzle Fuel Version ** Rate G <br /> Volume of Time to Gas drained Gas introduced Pass/Fail <br /> Number Grade Gas added to hose Gallons G x 60 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. dis ensin 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 /> 7 ALL 0 PASS <br /> 8 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 <br /> statements and information provided in this document are true, accurate, and complete. <br /> Signature of Technician: _ � Date: _6/13/25 <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 <br /> version column, mark the test as pass, and no further testing is required. <br /> Ver. 1.5—08.20.14 <br />