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A <br /> San Joaquin VHEALTHY AIR LIVING' <br /> www.health miriiYin .cam <br /> Y 9 <br /> AIR POLLUTION CONTROL DISTRICT Make one change for clean air! <br /> TP-201.6C or EVR Liquid Removal Test <br /> Liquid Removal Rate Report Form <br /> Permit Number:N-9259 Test Company:AFFORDA- TEST <br /> Site Name: GRIND INVESTMENTS ARCO AMPM Technician: ZANE NIMMO <br /> Site Address: 6009 N. EL DORADO STREET Certification Number: 0083 Expiration Date: 3/31/2020 <br /> City: STOCKTON, CA Zip: 95207 District: SJVAPCD <br /> Date/Time of Test: 12/6/2018 VST(if applicable): 3000839502 2/15/2020 <br /> TEST INFORMATION <br /> Phase II <br /> or recovery system executive order: ❑ G-70-52(Pre-Phase II EVR balance for AST&UST) ® VR-203/204(VST Phase II EVR balance) <br /> EVR Short VI G T VF Wi Wr VW Dispensing VI-VW-VF <br /> Nozzle Fuel Version** Rate G <br /> Number Grade <br /> Volume of Gas added to hose Gallons Time to G x 60 Gas drained Gas introduced Gas Liquid removal Pass/Fail <br /> Gas drained (150-175 ml) dispensed dispense T after after dispensing recovered Wi Wr rate(ml/gal) <br /> from hose ml sec. dispensing (150-175 ml <br /> 1 ALL 0 150 7.5 18 6.67 0 150 130 20 17.33 Pass <br /> 2 ALL 1 0 150 7.5 1 19 6.31 0 150 130 20 17.33 Pass <br /> 3 ALL 0 150 7.5 17 7.05 0 150 130 20 17.33 Pass <br /> 4 ALL 0 150 7.5 17 7.05 0 150 130 20 17.33 Pass <br /> 5 ALL 0 150 7.5 18 6.67 0 150 130 20 17.33 Pass <br /> 6 ALL 0 150 7.5 17 7.05 0 150 130 20 17.33 Pass <br /> 7 ALL 0 150 7.5 16 7.50 0 150 130 20 17.33 Pass <br /> 8 ALL 0 150 7.5 16 7.50 0 150 130 20 17.33 Pass <br /> 9 ALL 0 150 7.5 17 7.05 0 150 130 20 17.33 Pass <br /> 10 ALL 0 150 7.5 17 7.05 0 150 130 20 17.33 Pass <br /> 11 ALL 0 150 7.5 17 7.05 0 150 130 20 17.33 Pass <br /> 12 ALL 0 1 150 7.5 1 17 7.05 1 0 1 150 1 130 20 1 17.33 Pass <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 <br /> information provided in this document are true, accurate, and complete. <br /> Signature of Technician: Date: 121612018 <br /> **NOTE: For EVR systems-Prior to the Leak Decay Test,if the liquid drained from the hose is<25 ml,record the amount in the EVR short version column,mark the <br /> test as pass,and no further testing is required. <br /> Ver. 1.5-08.20.14 <br />