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ndAfforda-Te$t Healy Dispenser Vapor <br /> 416 2 Street Galt, Ca. 95632 Line Integrity <br /> 209 744-0112 Fax 269 744-0116 <br /> Test Date: 5/15/12 Time: 0900 <br /> Site: GEORGE'S MINI MART <br /> Address: 18662 N. HWY 88 GDF#N-3466-1-2 Confirmation 12-14968 <br /> City: LOCKEFORD, CA 95237 <br /> ❑ Startup Z Compliance <br /> Technician: Zane Nimmo SJV#0083 <br /> 1 declare,under penalty ofperjury under the laws of the stale of California that based on information and beliefformed after reasonable inquiry,the statements and <br /> information provided in the document true,accurate and complete, <br /> Tech Signature: O :�— Healy Cert:0563743702 Exp. 1218112 <br /> Pump# 1/2 Motor Serial#N/A Pump#3/4 Motor Serial#NIA <br /> Vacuum Pressure Test : Vacuum Pressure Test : <br /> Initial Reading 88 Final Reading 88 Initial Reading 76 Final Reading 76 <br /> Vacuum Dispensing Test Side A Vacuum Dispensing Test Side A <br /> Vacuum Dispensing Test Side B Vacuum Dispensing Test Side B <br /> Vacuum Test Both Side A&B YES Vacuum Test Both Side A&B YES <br /> Electric Button Test—All grades turn on now & high Electric Button Test—All grades turn on now & high <br /> speed: speed: <br /> ® Yes ❑ No ® Yes ❑ No <br /> Pump# 5/6 Motor Serial # NIA Pump#7/8 1 Motor Serial #NIA <br /> Vacuum Pressure Test : Vacuum Pressure Test : <br /> Initial Reading 87 Final Reading 87 Initial Reading 88 Final Reading 88 <br /> Vacuum Dispensing Test Side A Vacuum Dispensing Test Side A <br /> Vacuum Dispensing Test Side B Vacuum Dispensing Test Side B <br /> Vacuum Test Both Side A&B YES Vacuum Test Both Side A&B YES <br /> Electric Button Test—All grades turn on now & high Electric Button Test—All grades turn on now & high <br /> speed: speed: <br /> ® Yes ❑ No Z Yes ❑ No <br /> Pump# ]Motor Serial # Pump# I Motor Serial # <br /> Vacuum Pressure Test : Vacuum Pressure Test : <br /> Initial Reading Final Reading Initial Reading Final Reading <br /> Vacuum Dispensing Test Side A Vacuum Dispensing Test Side A <br /> Vacuum Dispensing Test Side B Vacuum Dispensing Test Side B <br /> Vacuum Test Both Side A&B Vacuum Test Both Side A&B <br /> Electric Button Test—All grades turn on now & high Electric Button Test—All grades turn on now& high <br /> speed: speed: <br /> El Yes ❑ No ❑ Yes ❑ No <br />