Laserfiche WebLink
ffo rd a -Te 416 2 Street <br />t <br />Galt, CA 95632 <br />(209) 744-0113 Fax (209) 744-0116 <br />E.O. VR -203/204 <br />Veeder-Root Vapor Polisher Operability Test Form <br />Permit Number: N-4721-1-1 <br />CONF # 18-25877 <br />Date of Test: 9/6/2018 Time: <br />Site Name: FOOD <br />MART GAS <br />Calibration date for thermometer (must be with 6 months of the test) <br />Site Address: 2185 <br />E. FREMONT STREET <br />9/6/2018 <br />City: STOCKTON <br />Zip: 95205 <br />Technician. <br />VST:3000839502 <br />District: S J V A P <br />C D <br />Veeder-Root: Zane A. Nimmo #A28446 <br />Calibration Date: DAILY <br />TEST INFORMATION <br />Calibration date for digital manometer (must be within 6 months of the test) <br />713/2018 <br />Ending value for digital manometer drift test (must be 0.01 in. w.c. or less) <br />.00 <br />Calibration date for thermometer (must be with 6 months of the test) <br />NCO A <br />Vapor polisher valve close date and time (must have been closed for at least 2 hours) <br />9/6/2018 <br />0919 <br />Atmospheric pressure sensor serial number <br />60 15 <br />PRESSiJRE INTEGRITY TEST <br />Nitrogen gas flow rate (scfh) <br />15 SCF H <br />Starting pressure (in. w.c.) <br />8.05 <br />Final pressure at 1 minute (in. w.c.) <br />8.26 <br />Is the final pressure > 7.0 in. w.c.? <br />Yes <br />Is the difference between the starting and final pressure < 0.5 in. w.c.? <br />Yes <br />NOTES: lIf the final pressure is not > 7.0 in. w.c. and the difference is not < 0.5 in. w.c., then the vapor polisher is not in <br />compliance. <br />FLOW TEST <br />Nitrogen gas flow rate (scfh) <br />18 S C F H <br />Pressure (in. w.c.) <br />1.95 <br />Is the pressure between 1.69 and 2.25 in. w.c.? <br />Yes <br />NOTES: 'The flow rate must be 18.0 f 0.2 scfh. <br />ZThe pressure must be between 1.69 and 2.25 in. w.c. or the vapor polisher is not in compliance. <br />3Three-way valve must be returned to normal (open) operating position after testing is completed. <br />4PMC valve mode must be re -set to automatic after testing is completed. <br />I declare, under penalty of perjury under the laws of the state of California that based on information and belief formed <br />after reasonable inquiry, the statements and information provided in this document are true, accurate, and complete. <br />Signature of Technician: Date: 9/6/18 <br />Ver. 1, — 0 1 <br />.20.09 <br />