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Allorda-Te$t <br />POB 36 26515 N. Sacramento Blvd. <br />Thornton, California 95686 <br />(209) 794-0102 (800) 524-9087 FAX (209) 794-0112 <br />Liquid Removal Test <br />TP -201.6 <br />Contractor/Engineer Ordering Test: <br />TEST DATE: <br />TIME: %. k.41-" 1 - <br />SITE NAME: So <br />v' lJP l ��9w^ <br />Pretest <br />Final Test <br />TECHNICIAN NAME: <br />TECH SIGNATURE: <br />Jy r`f <br />Operator Name: <br />Owner: <br />SJVAQMD Certification #0197 <br />AIR QUALITY AGENCY: S J V <br />INSPECTOR NAME: Uf L <br />_ Present Not Present <br />Site Address: 70 <br />Address: <br />S"l 'r'0 n" <br />Phone: 7 �� i/ 7 ' D� <br />Phone: <br />FACILITY INFORMATION <br />A/C#ORAPP# <br />#DISPENSERS <br />Gasoline Dispensing <br />Facili # <br />DISPENSER Make: <br />Start Up Annual <br />NOZZLE Make: <br />` „ <br />/X J BALANCE VAPOR ASSIST <br />G �l v PV Valve Make: A S <br /># TOTAL NOZZLES <br />Model: <br />Model: v�� <br />Model: �Y <br />�11ANIFOLDED: <br />Yes <br />%� <br />No <br />HOSE <br />/� <br />Make: 1-, ;') G� �; r' TYPE of VAPOR ASSIST SYSTEM <br />Gasoline <br />Grade <br />(vl) <br />Liquid Gaso- <br />line Added - m <br />(G) <br />Gallons <br />Dispensed <br />(T) <br />Time to Dis- <br />pense-Seconds <br />60 (G) / (T) <br />Dispensing <br />Rate, GPM <br />(VF) <br />Liq Gasoline <br />Remaining -ml <br />(Vw) <br />GasLostw/no <br />Dispensing <br />(VI-VTV-VF)/G <br />Removal Rate <br />ml/gallon <br />c <br />Pump <br />Number <br />V <br />0. U/S�. <br />/0,007-- <br />/7- <br />7, 0 <br />U <br />5; = 1'ft <br />5 <br />? <br />X5-1 <br />S� <br />)0 0()/ <br />to . 0b `� <br />- <br />�v <br />err <br />