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San Joaquin Valley HEALTHY AIR LIVING' <br /> wttfw,Ile althyeirliving>coil) <br /> AIR POLLUTION CONTROL DISTRICT Make one change for clean air! <br /> E.O. VR-202 <br /> Veeder-Root In-Station Diagnostics Vapor Pressure Sensor Ambient Reference Test & <br /> Site Shutdown Test Report Form <br /> Permit Number: Test Company:TANKNOLOGY INC. <br /> Site Name: 7-ELEVEN#32190,MKT2368 Technician: Ryan Casey <br /> Site Address: 4943 S.KINGSLEY(FRONTAGE RD)HWY 99 @ <br /> ARCH AIRPORT RD Certification Number Expiration Date <br /> City:STOCKTON Zip:95206 District: <br /> Date/Time of Test:3/19/2015 Veeder-Root:B38961 7/1I/2016 <br /> VAPOR PRESSURE SENSOR UST PRESSURE TEST <br /> Calibration date for digital manometer(must be within 12 months of the test) 2/25/2015 <br /> Ending value for digital manometer drift test(must be 0.01 in.w.c.or less) 0.00 <br /> Digital manometer ullage pressure,inches of water column (in.w.c.) 1.99 <br /> TLS console pressure sensor value,inches of water column(in.w.c.) 2.016 <br /> Is pressure value between-0.20 and+0.20 in.w.c.? Yes <br /> VAPOR PRESSURE SENSOR OFFSET CHECK',2 <br /> Pressure sensor located at dispenser number(s) 9/10 <br /> Pressure sensor number 2170.00 <br /> Non-calibrated pressure sensor value,inches of water column(in.w.c.) -0.007 <br /> Is pressure value between-0.20 and+0.20 in.w.c.? Yes <br /> SITE SHUTDOWN TESTS <br /> Test Parameter Test Result (Y/N) <br /> Was power removed from the TLS-350 console? Yes <br /> Was power to the submersible pump(s)removed by the TLS-350? Yes <br /> Was power restored to'I'LS-350 console? Yes <br /> COMMENTS (Include Description of Repairs Made) <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 /> 3A certified Veeder-Root technician must perform this test. <br /> I declare,under penalty of perjury under the laws of the state of California that based on information and beliefformed after reasonable <br /> inquitj,the statements and information provided in the document are true,accurate,and complete. <br /> Signature of Technician: Date:3/19/2015 <br /> WO:2321928 <br />