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ff�rda-Te 416 2"d Street L Galt, CA 95632 (209) 744-0113 Fax (209) 744-0116 E.O.VR-203/204 Vapor Pressure Sensor Verification Test & VST Processor Activation Pressure Test Report Form Test Company: AFFORDA TEST Permit Number:N-9259 4162 ND STREET GALT, CA 95632 209-744-0113 FAX 209-744-0113 Site Name: GRIN INVESTMENTS ARCO AM/PM Technician: Zane A.Nimmo Site Address: 6009 N.EL DORADO STREET Certification Number/Expiration Date City: STOCKTON,CA Zip: 95207 District: S J V A P C D Date/Time of Test: 12/6/2018 VST: 3000839502 Veeder-Root: A28446 TEST INFORMATION Pressure sensor located at dispenser number(s) 5 / 6 Pressure sensor serial number 7367387 Calibration date for digital manometer(must be within 12 months of the test) 10/13/2018 Ending value for digital manometer drift test(must be 0.01 in. w.c. or less) .00 VAPOR PRESSURE SENSOR UST PRESSURE TEST UST pressure from digital manometer(in.w.c.) 2.16 Pressure sensor value from TLS-350(in.w.c.) 2.035 Is Pressure Value Between-0.20 and+0.20 in.w.c.? YES WMAPOR PRESSURE SENSOR AMBIENT REFERENCE TEST1,2 Non-calibrated pressure sensor value from TLS-350(in.w.c.) 0.001 Is pressure value between-0.20 and+0.20 in.w.c.? YES VST PROCESSOR ACTIVATION PRESSURE TEST1,2 VST processor activation pressure(in.w.c.) N/A Is the VST processor activation pressure<0.4 in.w.c.? N/A NOTES: 'Valve must be returned to normal operating position after testing is completed. 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. Signature of Technician: Date: 12/6/2018 Ver. 1.3—12.13.08