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Lines 4 4 4 4 4 4 4 4 Dominic Salas FORM 1 SUMMARY OF SOURCE TEST DATA SOURCE INFORMATION FACILITY PARAMETERS GDF Name and addresss GDF Representative and Title _________________________________ PHASE II SYSTEM TYPE (Check One) Balance ____ Hirt ____ Red Jacket ____ Hasstech ____ Healy ____Other GDF Phone No. (___)________________ Permit Conditions Source: GDF Vapor Recovery System GDF # A/C # Manifolded? Y or N Operating Parameters Number of Nozzles Served by Tank #1 ______ Number of Nozzles Served by Tank #3 ______ Number of Nozzles Served by Tank #2 ______ Number of Nozzles Served by Tank #4 ______ Applicable Regulations: VN Recommended Source Test Results and Comments Tank #: 1.Product Grade 2.Actual Tank Capacity, gallons 3.Gasoline Volume 4.Ullage, gallons (#2-#3) 5.Initial Pressure, inches H 2 O 6.Pressure After 1 Minute, inches H 2 O 7.Pressure After 2 Minutes, inches H 2 O 8.Pressure After 3 Minutes, inches H 2 O 9.Pressure After 4 Minutes, inches H 2 O 10.Final Pressure After 5 Minutes, inches H 2 O 11.Allowable Final Pressure Test Conducted by: Test Company: Date of Test: California Air Resources Board July 26, 2012 TP-201.3, Page 14 40CFR63CCCCCC Precision Testing Technologies Maverik #573 4002561 1 Reg 25431 11346 14085 2.00 N/A N/A N/A N/A N/A 1.90 3 Prm 8050 2268 5762 2.00 1.96 1.93 1.90 1.87 1.84 1.76 4 E-Free 8841 5264 3577 2.00 1.94 1.88 1.83 1.78 1.74 1.61 11/01/2024 Maverik #573 4002561 Dominic Salas California Air Resources Board October 8, 2003 TP-201.1B, Page 5 Form 1 Static Torque of Rotatable Phase I Adaptors Measurement Units: (Check Box): pound-inches pound-feet Vapor Adaptor 1 Vapor Adaptor 2 Vapor Adaptor 3 Vapor Adaptor 4 Brand:Brand:Brand:Brand: Model:Model:Model:Model: Grade:Grade:Grade:Grade: Torque 1:Torque 1:Torque 1:Torque 1: Torque 2:Torque 2:Torque 2:Torque 2: Torque 3:Torque 3:Torque 3:Torque 3: Average:Average:Average:Average: 360 Rotation:360 Rotation: 360 Rotation:360 Rotation: Product Adaptor 1 Product Adaptor 2 Product Adaptor 3 Product Adaptor 4 Brand:Brand:Brand:Brand: Model:Model:Model:Model: Grade:Grade:Grade:Grade: Torque 1:Torque 1:Torque 1:Torque 1: Torque 2:Torque 2:Torque 2:Torque 2: Torque 3:Torque 3:Torque 3:Torque 3: Average:Average:Average:Average: 360 Rotation: 360 Rotation: 360 Rotation:360 Rotation: Comments: ___________________________________________________________________ Test Company:Conducted By: Test Date:Facility Name: Facility Address:City: Precision Testing Technologies 11/01/2024 Maverik #573 13970 S Redwood Rd Bluffdale 4 OPW 61 USA Reg 60 70 55 61.6 Yes OPW 61 SALP Reg W 70 75 75 73.3 Yes OPW 61 USA Prm 55 60 55 56 Yes OPW 61 SALP Reg E 70 80 75 75 Yes OPW 61 USA Clear 75 60 60 65 Yes OPW 61 SALP Prm 80 70 80 76 Yes Yes OPW 61 SALP Clr 76 76 76 76 Yes Dominic Salas Pressure/Vacuum (P/V) Vent Valve Data Sheet Facility Name: Test Date: Address: Test Company: Precision Testing Technologies City: Tester Name: Product: P/V Valve Manufacturer: Model Number: Pass Fail Manufacturers Specified Positive Leak Rate (CFH): Manufacturers Specified Negative Leak Rate (CFH): Measured Positive Leak Rate (CFH): Measured Negative Leak Rate (CFH): Positive Cracking Pressure (in H2O): Negative Cracking Pressure (in H2O): Product: P/V Valve Manufacturer: Model Number: Pass Fail Manufacturers Specified Positive Leak Rate (CFH): Manufacturers Specified Negative Leak Rate (CFH): Measured Positive Leak Rate (CFH): Measured Negative Leak Rate (CFH): Positive Cracking Pressure (in H2O): Negative Cracking Pressure (in H2O): Product: P/V Valve Manufacturer: Model Number: Pass Fail Manufacturers Specified Positive Leak Rate (CFH): Manufacturers Specified Negative Leak Rate (CFH): Measured Positive Leak Rate (CFH): Measured Negative Leak Rate (CFH): Positive Cracking Pressure (in H2O): Negative Cracking Pressure (in H2O): Product: P/V Valve Manufacturer: Model Number: Pass Fail Manufacturers Specified Positive Leak Rate (CFH): Manufacturers Specified Negative Leak Rate (CFH): Measured Positive Leak Rate (CFH): Measured Negative Leak Rate (CFH): Positive Cracking Pressure (in H2O): Negative Cracking Pressure (in H2O): 2.5" to 6" wc <=0.05 cfh @ 2" wc 2.5" to 6" wc <=0.05 cfh @2" wc 2.5" to 6" wc <=0.05 cfh 2" wc 2.5" to 6" wc <=0.05 cfh 2" wc 6" to 10" wc <=0.21 cfh @ 4" wc 6" to 10" wc <=0.21 cfh @ 4" wc 6" to 10" wc <=0.21 cfh @ 4" wc 6" to 10" wc <=0.21 cfh @ 4" wc Maverik #573 13970 S. Redwood Rd Bluffdale 11/01/2024 Reg OPW 623 V 4 .03 3.45 .16 6.54 Prm OPW 623 V 4 .04 4.56 .14 6.73 Clr OPW 623 V 4 .03 3.09 .15 6.54 Maverik #573 13970 S. Redwood Rd 11/01/2024 Bluffdale Dominic Salas