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ora-eL)t <br />416 2°d Street <br />Galt, CA 95632 <br />(209) 744-0113 Fax (209) 744-0116 <br />E.O. VR -203/204 <br />Vapor Pressure Sensor Verification Test & VST Processor Activation Pressure <br />Test Report Form <br />Permit Number: N-945 <br />Test Company: AFFORDA TEST <br />4162 ND STREET GALT, CA 95632 <br />209-744-0113 FAX 209-744-0113 <br />Site Name: WEST LANE FUELS <br />Technician: ED STEARNS <br />Site Address: 3300 WEST LANE <br />Certification Number / Expiration Date <br />City: STOCKTON, CA Zip: 95204 <br />District: 0278 3/31/2022 <br />Date/Time of Test: 7/15/20 <br />VST: 3000967424 <br />Veeder Root A31048 <br />TEST INFORMATION 0 <br />Pressure sensor located at dispenser number(s) <br />3-4 <br />Pressure sensor serial number <br />8044 <br />Calibration date for digital manometer (must be within 12 months of the test) <br />7/2/20 <br />Ending value for digital manometer drift test (must be 0.01 in. w.c. or less) <br />0 <br />VAPOR PRESSURE SENSOR UST PRESSURE TEST <br />UST pressure from digital manometer (in. w.c.) <br />1.97 <br />Pressure sensor value from TLS -350 (in. w.c.) <br />1.964 <br />Is Pressure Value Between -0.20 and +0.20 in. w.c.? <br />YES <br />���FPOR PRESSURE SENSOR AMBIENT REFERENCE TEST 1,2 <br />Non -calibrated pressure sensor value from TLS -350 (in. w.c.) <br />-0.045 <br />Is pressure value between -0.20 and +0.20 in. w.c.? <br />YES <br />VST PROCESSOR ACTIVATION PRESSURE TEST1,2 <br />VST processor activation pressure (in. w.c.) NA <br />Is the VST processor activation pressure <_ 0.4 in. w.c.? NA <br />VOTES: 'Valve must be returned to normal oueratin2 uosition after testing is comaleted. <br />'The ambient reference port cap must be in place after testing is completed. <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 />i� <br />Signature of Technician: Date: 7/15/20 <br />Ver. 1.3 — 12.13.08 <br />