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COMPLIANCE INFO_2010 - 2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231433
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COMPLIANCE INFO_2010 - 2018
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Last modified
2/19/2020 2:01:21 PM
Creation date
2/19/2020 10:04:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010 - 2018
RECORD_ID
PR0231433
PE
2361
FACILITY_ID
FA0003685
FACILITY_NAME
DBA CIRCLEK, REFUEL PETROLEUM INC.
STREET_NUMBER
419
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21938610
CURRENT_STATUS
01
SITE_LOCATION
419 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Afforda-TeSt 4162"d Street Phone: (209)744-0112 F—G I VED <br /> It Galt,Ca 95632 Fax: (209)744-0116 <br /> E.O.VR-201/202 affords softcom.net JUN 2 6 2015 <br /> Vapor-to-Liquid V/L Volume Ratio Test Report Form <br /> Permit Number:N-1159-1-3 CONF# 15-20467 Test Company:AFFORDA- TEST -- N �-..7A <br /> site Name:MANTECA EXPRESS MART Technician: ZANE NIMMO <br /> Site Address:419 S. MAIN ST. Certification Number Expiration Date <br /> City: MANTECA zip:95337 District: S J V A P C D <br /> Date/Time of Test:5/28/15 Franklin (Healy):0563743702 1/5/2017 <br /> TEST INFORMATION <br /> Gas volume meter type (i.e., Roots meter or Tri-Tester) TRI TESTER <br /> Gas volume meter serial or identification number: 914644 <br /> Tri-Tester software version,if applicable (must be version 2.01) 2.96/2.01/DR <br /> Calibration date for Gas volume meter(must be within 180 days of the test) 1/12/15 <br /> Gas volume meter correction factor,y(Roots meter) 0.992 <br /> Pre-test leak check for Roots meter: Initial pressure: 30 sec.pressure: Pre-test leak check for Tri-tester:FLAT Re-inflate in 30 sec.❑Yes® No <br /> Post-test leak check for Roots meter: Initial pressure: 30 sec.pressure: Post-test leak check for Tri-tester:FLAT Re-inflate in 30 sec.❑Yes® No <br /> Initial Final Total Gas Initial Meter Final Meter <br /> Nozzle Fuel Nozzle Model&Serial Dispenser Dispenser Time Dispensing 3 Pass/Fail <br /> Dispensed Reading(ft j, Reading V/L <br /> Number Grade No. Reading Reading (gal) (sec) Rate (gal.) V; (ft3),V, (P/F) <br /> al. ,G al. ,Gf <br /> 1 87 HEALY 900 0.000 2.000 2.000 -- 7.04 -- -- 1.09 PASS <br /> 89 7.77 1.12 PASS <br /> 91 7.21 1.09 PASS <br /> 2 87 6.10 1.06 PASS <br /> 89 6.76 1.06 PASS <br /> 91 7.14 1.06 PASS <br /> 3 87 1 7.39 1.07 PASS <br /> 89 7.46 1.11 PASS <br /> 91 7.32 1.09 PASS <br /> 4 87 7.50 1.12 PASS <br /> 89 7.98 1.10 PASS <br /> 91 1 1 1 1 7.81 1 1.11 1 PASS <br /> NOTE: The V/L ratio shall be 0.95 to 1.15,measured at a flow rate between 6.0-10.0 gpm. Any fueling point whose V/L ratio Is determined to be at or below 0.80 shall be <br /> deemed defective and removed from service. <br /> I 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 information <br /> provided in the document are true,accurate,and complete. <br /> Signature of Technician: {�' '"`- _ Date: 5/28/15 <br />
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