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Vapor Recovery Test and Notification Forms

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Forms are in Interactive Word and Adobe Acrobat PDF formats.  If you do not have Word 97 or later, please print out forms available in PDF.

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(Last updated 4/12/11)

Test Notification of Vapor Recovery Equipment

Word

PDF



Vapor Recovery Test Data Cover Sheet
For test results to be considered complete, one cover sheet must accompany each set of test results (i.e. one cover sheet for each facility for each day of testing).

Word

PDF


Phase I Test Data Forms
TP 201.1B Static Torque of Rotatable Phase 1 Adaptors Word PDF
TP 201.1C/D Leak Rate of Drop Tube/Drain Pressure Integrity/OPD Word PDF
TP 201.1E - Leak Rate and Cracking Pressure of Pressure/Vacuum Vent Valves Word PDF


Pre-EVR Phase II Test Data Forms

TP 201.5 (Roots Meter Option)

Word

PDF

TP 201.5 (Roots Meter Option Supplemental)

Word

PDF

TP 201.5 ( TriTester Option)

Word

PDF

TP 201.6C Compliance Determination of Liquid Removal Test Option 2 (Long Version)

Word

PDF


Healy EVR Phase II Test Data Forms - (E.O. VR-201-202-XX)

Exhibit 4 - Determination of Static Pressure Performance of the Healy Clean Air Separator

Word

PDF

Exhibit 5 - Vapor to Liquid Volume Ratio for Healy Phase II EVR Systems (Roots Meter Option)

Word

PDF

Exhibit 5 - Vapor to Liquid Volume Ratio for Healy Phase II EVR Systems (TriTester Option)

Word

PDF

Exhibit 9 – Veeder-Root ISD Operability Test Procedure

Word

PDF

Exhibit 10 – INCON ISD Operability Test Procedure Word PDF

VP-1000 Vacuum Pump Tightness Test per IOM

Word

PDF

Healy Quarterly Inspection Form

Word

PDF


VST Membrane/Veeder-Root Vapor Polisher PHASE II TEST DATA FORMS - (E.O.VR-203-204-XX)

Exhibit 5, Option 2 - Liquid Removal Test

Word PDF

Exhibit 8 - VST/ECS Hydrocarbon Sensor Verification Test

Word PDF

Exhibit 9 - VST Processor Activation

Word PDF
Exhibit 10 - Vapor Pressure Sensor Verification Test Word PDF
Exhibit 11 – Veeder-Root Vapor Polisher Operability Test Word PDF
Exhibit 12 – Veeder-Root Hydrocarbon Emissions Verification Test Word PDF

Exhibit 14 - Determination of Static Pressure Performance of the Healy Clean Air Separator

Word

PDF

Exhibit 17 - Veeder-Root ISD Vapor Flow Meter Operability Test Word PDF

Healy Executive Order #G-70-187

Exhibit 4 - Healy EO#G-70-187, Vapor Return Line Vacuum Integrity Test

Word

PDF

Exhibit 5 - Healy EO#G-70-187, Fillneck Vapor Pressure Regulation Test

Word

PDF


Other Test Data Forms

TP 201.3/ TP 201.3a/ TP 96-1 Pressure Decay Tests

Word

PDF

Nozzle Bag Test Procedure - Exhibit 7 of VR-201-209-XX & Exhibit 2 of G-70-191-AA

Word

PDF

Exhibit 4 - Determination of Static Pressure Performance of the Healy Clean Air Separator (E.O.# VR-209-XX)

Word

PDF

TP 201.4 Dynamic Back Pressure Word PDF

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