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fforda—Te t416 2°d Street <br /> Galt, CA 95632 <br /> (209) 744-0113 Fax (209) 744-0116 <br /> E.O.VR-203/204 <br /> Vapor Pressure Sensor Verification Test & VST Processor Activation Pressure <br /> Test Report Form <br /> Test Company: AFFORDA TEST <br /> Permit Number:N-633 4162 ND STREET GALT, CA 95632 <br /> 209-744-0113 FAX 209-744-0113 <br /> Site Name: PERSHING GAS Technician:ED STEARNS <br /> Site Address:4445 N PERSHING Certification Number/Expiration Date <br /> City: STOCKTON,CA Zip: 95207 District: SJVAQMD Select Fxp. Date <br /> Date/Time of Test: 7/26/18 VST:3000490996 <br /> Veeder Root A31048 <br /> TEST INFORMATION <br /> Pressure sensor located at dispenser number(s) VENT <br /> Pressure sensor serial number 8459 <br /> Calibration date for digital manometer(must be within 12 months of the test) 7/2/18 <br /> Ending value for digital manometer drift test(must be 0.01 in.w.c.or less) 0 <br /> VAPOR PRESSURE SENSOR UST PRESSURE TEST <br /> UST pressure from digital manometer(in. w.c.) 2.09 <br /> Pressure sensor value from TLS-350(in.w.c.) 2.06 <br /> Is Pressure Value Between-0.20 and+0.20 in.w.c.? YES <br /> VAPOR PRESSURE SENSOR AMBIENT REFERENCE TEST 1,2 <br /> Non-calibrated pressure sensor value from TLS-350(in. w.c.) -0.048 <br /> Is pressure value between-0.20 and+0.20 in.w.c.? YES <br /> VST PROCESSOR ACTIVATION PRESSURE TEST1,2 <br /> VST processor activation pressure(in.w.c.) NA <br /> Is the VST processor activation pressure<_0.4 in. w.c.? NA <br /> NOTES: lValve must be returned to normal operating position after testing is completed. <br /> 'The ambient reference port cap must be in place after testing is completed. <br /> declare, under penalty of perjury under the laws of the state of California that based on information and belief formed after reasonable inquiry,the statements and <br /> information provided in this document are true,accurate,and complete. <br /> Signature of Technician: �� Date: 7/26/18 <br /> Ver. 1.3—12.13.08 <br />