Laserfiche WebLink
San Joaquin Valley HEALTHY AIR LIVING' <br /> + www.heal thy airliving.cam <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-2522 Test Company:AFFORDA-TEST <br /> Site Name:WEST LANE CHEVRON Technician: ZANE NIMMO <br /> Site Address: 4747 N. WEST LANE Certification Number: 0083 Expiration Date: 2020 <br /> city: STOCKTON, CA Zip:95210 District: SJVAPCO 0083 <br /> Date/Time of Test:9/19/2018 VST(if applicable):3000839502 2019 <br /> TEST INFORMATION <br /> Phase II vapor recovery system executive order: ❑ G-70-52(Pre-Phase II EVR balance for AST&UST) Z VR-203/204(VST Phase H EVR balance) <br /> EVR Short VI G T Dispensing VF Wi Wr VW V1—VW—VF <br /> Nozzle Fuel Version ** Rate G <br /> Number Grade 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 7. after after dispensing recovered Wi-Wr rate(mltgal) <br /> from hose(ml) sec. dispensing 150—175 ml) <br /> I ALL 0 Pass <br /> 2 ALL 0 Pass <br /> 3 ALL 0 Pass <br /> 4 ALL 0 Pass <br /> 5 ALL 0 Pass <br /> 6 ALL 0 Pass <br /> 7 ALL 0 Pass <br /> 8 ALL 0 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: 9119/2018 <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 />