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Vapor Recovery Test and Notification Forms |
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Forms are in Word and Adobe Acrobat PDF formats. If you do not have Word 2007 or later, please print out forms available in PDF.
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TEST NOTIFICATION FORMS
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TEST NOTIFICATION SCHEDULE FORM
This transmittal is to be faxed to the District prior to conducting the required tests.
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Word
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PDF
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10 DAY TRANSMITTAL OF VAPOR RECOVERY TEST
This transmittal is to be faxed to the District along with the full test report on District-specified report form within 10 days of completion of testing.
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Word
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PDF
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24 HOUR NOTIFICATION OF TEST FAILURE
This transmittal is to be faxed to the District along with the full test report on District-specified report form within 10 days of completion of testing.
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Word
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PDF
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PHASE I TEST DATA FORMS
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TP 201.3 Static Pressure Performance
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Word
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PDF
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TP 201.1B Static Torque of Rotatable Phase 1 Adaptors
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Word
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PDF
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TP 201.1C/D Leak Rate of Drop Tube/Drain Pressure Integrity/OPD
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Word
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PDF
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HEALY EVR PHASE II TEST DATA FORMS - (E.O. VR-201-XX/VR-202-XX)
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TP 201.4 Dynamic Back Pressure
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Word
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PDF
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Exhibit 4 - Determination of Static Pressure Performance of the Healy Clean Air Separator
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Word
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PDF
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Exhibit 5 - Vapor to Liquid Volume Ratio for Healy Phase II EVR Systems (Roots Meter Option)
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Word
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PDF
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Exhibit 5 - Vapor to Liquid Volume Ratio for Healy Phase II EVR Systems (TriTester Option)
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Word
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PDF
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Exhibit 8 - Static Pressure Performance
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Word
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PDF
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Exhibit 9 - Veeder-Root ISD Operability Test Procedure
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Word
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PDF
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Exhibit 10 - INCON ISD Operability Test Procedure
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Word
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PDF
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VP-1000 Vacuum Pump Tightness Test per IOM
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Word
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PDF
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VST Membrane/Veeder-Root Vapor Polisher PHASE II TEST DATA FORMS - (E.O.VR-203-XX/VR-204-XX)
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Exhibit 4 - Static Pressure Performance
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Word
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PDF
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Exhibit 5, Option 2 - Liquid Removal Test
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Word
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PDF
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Exhibit 6 - VST Hydrocarbon Verification
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Word
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PDF
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Exhibit 8 - Vapor Pressure Sensor Verification
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Word
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PDF
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Exhibit 9 - VST Processor Activation
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Word
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PDF
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Exhibit 10 - Nozzle Bag Test
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Word
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PDF
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Exhibit 11 - Veeder-Root Vapor Polisher Operability Test
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Word
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PDF
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Exhibit 12 - Veeder-Root Hydrocarbon Emissions Verification Test
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Word
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PDF
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Exhibit 13 - ISD Operability Test
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Word
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PDF
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Exhibit 14 - Dynamic Back Pressure
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Word
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PDF
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VST w/ HIRT VCS 100 PHASE II TEST DATA FORMS - (E.O.VR-205-XX)
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Exhibit 4 - Static Pressure Performance
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Word
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PDF
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Exhibit 5, Option 2 - Liquid Removal Test
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Word
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Exhibit 6 - Dynamic Back Pressure
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Word
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PDF
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Exhibit 8 - Hirt VCS Processor
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Word
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PDF
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HIRT MODEL VCS-200 PHASE II TEST DATA FORMS - (EO G-70-139)
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Exhibit 2 - Static Pressure Performance
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Word
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PDF
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Exhibit 2 - Pilot Light & Main Burner
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Word
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PDF
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HEALY EXECUTIVE ORDER PHASE II TEST DATA FORMS - (EO G-70-187)
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Exhibit 4 - Healy EO#G-70-187, Vapor Return Line Vacuum Integrity Test
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Word
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PDF
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Exhibit 5 - Healy EO#G-70-187, Fillneck Vapor Pressure Regulation Test
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Word
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PDF
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PRE-EVR PHASE II TEST DATA FORMS
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TP 201.5 (Roots Meter Option)
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Word
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PDF
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TP 201.5 (Roots Meter Option Supplemental)
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Word
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PDF
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TP 201.5 ( TriTester Option)
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Word
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PDF
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TP 201.6C Compliance Determination of Liquid Removal Test Option 2 (Long Version)
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Word
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PDF
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Programs