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fforda-Te$t 416 2nd Street Galt, CA 95632 (209) 744-0113 Fax (209) 744-0116 E.O.VR-203/204 Veeder-Root Vapor Polisher Operability Test Form Permit Number: N-9259 Date of Test: 12/6/2018 Time: Site Name: GRIN INVESTMENT ARCO AMPM Site Address: 6009 N. EL DORADO STREET City: STOCKTON, CA Zip: 95207 Technician: ZANE NIMMO VST: 3000839502 District: SJVAPCD Veeder-Root: A28446 Calibration Date: DAILY TEST INFORMATION Calibration date for digital manometer(must be within 6 months of the test) 10/13/2018 Ending value for digital manometer drift test(must be 0.01 in.w.c. or less) .00 Calibration date for thermometer(must be with 6 months of the test) NCO A Vapor polisher valve close date and time(must have been closed for at least 2 hours) 10/13/2018 1 1210 Atmospheric pressure sensor serial number 8 2 8 0 MM PRESSURE INTEGRITY TEST Nitrogen gas flow rate(scfh) 15 SCF H Starting pressure(in.w.c.) 8.03 Final pressure at 1 minute(in.w.c.) 8.01 Is the final pressure>7.0 in.w.c.? Yes Is the difference between the starting and final pressure<0.5 in.w.c.? Yes NOTES: 'If the final pressure is not > 7.0 in. w.c. and the difference is not < 0.5 in. w.c., then the vapor polisher is not in compliance. FLOW TEST Nitrogen gas flow rate(scfh) 18 S C F H Pressure(in.w.c.) 1.86 Is the pressure between 1.69 and 2.25 in.w.c.? Yes NOTES: 'The flow rate must be 18.0 f 0.2 scfh. 2The pressure must be between 1.69 and 2.25 in.w.c.or the vapor polisher is not in compliance. 'Three-way valve must be returned to normal(open)operating position after testing is completed. VMC valve mode must be re-set to automatic 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. Signature of Technician: Date: 12/6/2018 Ver. 1.1—01.20.09