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F; Fir <br /> m t o m O n ffqq 0 6 5 9 2 3 <br /> C y ^ (n 2 c x <br /> R C- nEi <br /> < a A < ry C Z <br /> o ` < `m a u <br /> —] y n< <br /> 02 a o n y Z Z <br /> R(6' a a <br /> A� irr <br /> A z b <br /> O <br /> i+ <br /> o <br /> c� ^A 3 � 3 � o N � eD � <br /> 0 <br /> a q �' 3 f u C) K t7 C <br /> o o v y O <br /> C7 �? ° Ix <br /> an' a w toa C z <br /> w j a 3 �7! <br /> i3 y A "o s <br /> ZS m 3 <br /> n " <br /> < npa. <br /> aC0 <br /> AFFORDA-TE$T Site Name: MANTECA EXPRESS <br /> 416 2'd Street Address:419 S MAIN ST <br /> Galt,CA 95632 City: MANTECA CA Zip: <br /> (209)744-0112 Fax(209)744-0116 Facility Permit#:N 1159 <br /> Date:5-14-13 Time: 11 <br /> Technician: DAVE WINKLER <br /> District Cert#:0082 Exp. <br /> Healy Cert#:00516633702 Exp.12-27-14 <br /> Digital Manometer Calibration Date:5-1-13 <br /> HEALY TEST FORM <br /> Clean Air Separator Pressure Performance Test Nozzle Bag Test <br /> Fuel Grade:ALL <br /> Nozzle Type:HEALY 900 <br /> Initial Vacuum/Pressure prior to test ® - ❑ + <br /> #1 #7 #13 #19 #25 #31 <br /> 1.Initial Vacuum/ Pressure (W.C.) 2.0 <br /> 2.Vacuum/Pressure after I minute,inches of water: 2.0 #2 #8 #14 #20 #26 #32 <br /> 3.Vacuum/Pressure after 2 minutes,inches of water:2.02 <br /> #3 #9 #15 #21 #27 #33 <br /> 4.Vacuum/Pressure after 3 minutes,inches of water:2.04 <br /> 5.Vacuum/Pressure after 4 minutes,Inches of water:2.04 #4 #10 #16 #22 #28 #34 <br /> 6.Vacuum/Pressure after 5 minutes,inches of water:2.06 <br /> #5 #11 #17 #23 #29 #35 <br /> 7.Allowable final vacuum: -.80 <br /> ® PASS ❑FAIL #6 #12 #18 #24 #30 #36 <br /> 1 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 <br /> and information provided in the document are true,accurate,and complete. <br /> Technician Signature: <br />