Laserfiche WebLink
Afforda-Te$t Healy Dispenser Vapor <br /> 4162 ad Street Galt,Ca.95632 Line Integrity <br /> 209744-0112 Fax 209 744-0116 <br /> Test Date: 5-14-13 Time:I1AM <br /> Site:MANTECA EXPRESS <br /> Address:419 S MAIN ST GDF# N 1156 Confirmation 13-16767 <br /> Fuel was unable to be dispensed from fueling points associated with the dispenser? Y City:MANTECA CA <br /> Starfu ®Com lienee <br /> Dispenser was re-enabled? Y Technician: DAVE WINKLER 0082 <br /> Fuel can be dispensed from fueling points associated with the dispenser? Y ldrdare,aaierPendry o/perjury mnler rhe I ofine—ofc l/mio dwb—dmr wf nnmmn..Ib,h ff n...d fer.r--bl,ir,q h)r.rhe,mrer....m,d <br /> itif—wi—provided in fir document true,—ate—d complete. <br /> VAPOR FLOW METER V/L CHECK (\ <br /> Vapor Flow meter serial number V�l <br /> Tech Signature: <br /> Dispenser fueling point numbers Healy Cert:0516633702 Exp.12-27-14 <br /> Low grade V/L result#1 Pump#1-2 Motor Serial# Pump#3-4 Motor Serial# <br /> ISD V/L value 91 <br /> Difference between V/L result#1 and ISD V/L value#1(V/L-ISD V/L) Vacuum Pressure Test: Vacuum Pressure Test: <br /> Pass/Fail(Pass=difference within*-0.15),if fail continue Initial Reading 79 Final Reading 79 Initial Reading 78 Final Reading 78 <br /> Low grade V/L result 92 <br /> Low grade V/L result 03 Vacuum Dispensing Test Side A YES Vacuum Dispensing Test Side A YES <br /> Average of 3 V/L results Vacuum Dispensing Test Side B Vacuum Dispensing Test Side B <br /> ISD V/L value#2 Vacuum Test Both Side A&B Vacuum Test Both Side A&B <br /> ISD V/L value#3 Electric Button Test—All grades tum on low&high Electric Button Test—All grades tum on low&high <br /> Average of 3 ISD V/L results <br /> speed: Speed: <br /> Difference between Average V/L and Average ISD V/L values Yes Fj No Yes No <br /> Pass/Fail(Pass=difference within 10.15) <br /> I declare,under penalty of perjury under the lacus of rhe state of California that based on information and beliefformed <br /> after reasonable inquiry,the statements and information provided in the document are true,accurate,and complete. <br /> Signature of Technician. <br /> Date: 4-14-13 <br /> Ver.1.2-08.05.08 <br />