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E ♦L orda- f I• 416 2 d Street Gait, CA 95632 (209) 744-0113 Fax (209) 744-0116 E.O. VR -203/204 Vapor Pressure Sensor Verification Test & VST Processor Activation Pressure Test ReDort Form Permit Number: Test Company: AFFORDA TEST 416 2ND STREET GALT, CA 95632 209-744-0113 FAX 209-744-0113 Site Name: TRACY VALERO Technician: David Winkler Site Address: 2375 TRACY BLVD Certification Number / Expiration Date City: TRACY CA Zip: District: BAA Select Exp. Date Date: 12-18-13 VST: 1360 Veeder-Root: B34975 TEST INFORMATION Pressure sensor located at dispenser number(s) VENT Pressure sensor serial number PASS Calibration date for digital manometer (must be within 12 months of the test) 11-1-13 Ending value for digital manometer drift test (must be 0.01 in. w.c. or less) 0 VAPOR PRESSURE SENSOR UST PRESSURE TEST UST pressure from digital manometer (in. w.c.) 2.0 Pressure sensor value from TLS -350 (in. w.c.) 1.95 Is Pressure Value Between -0.20 and +0.20 in. w.c.? PASS VAPOR PRESSURE SENSOR AMBIENT REFERENCE TEST1'2 Non -calibrated pressure sensor value from TLS -3 50 (in, w.c.) 0.006 Is pressure value between -0.20 and +0.20 in. w.c.? PASS VST PROCESSOR ACTIVATION PRESSURE TEST"' VST processor activation pressure (in, w.c.) NA Is the VST processor activation pressure 5 0.4 in. w.c.? NA NOTES: 'Valve must be returned to normal operating position alter testing is coinpletea. 2The ambient reference port cap must be in place after testing is completed. 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 provided in this document are true, accurate, and complete. 0-1 1 Signature of Technician: Oj Date: 12-18-13