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F; F O , � iFn�� t$1 4,16 2nd Street Galt CA 955 UNE �-,EAK DETECTOR <br /> �� � � �, ► (2091) 744-0112 (20-9) 744-0115 FAX TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE <br /> SITE NAME � � � �t� �- ,e <br /> PHONE <br /> ADDRESS <br /> Compliance LOCATION SKETCH <br /> Show North <br /> Repair/Construction <br /> Insurance <br /> Escrow <br /> Make&Type of Pump or Dispenser <br /> ,/ ti,P, <br /> Cover Over Lines <br /> Approx Burial Depth <br /> Weather <br /> C.oeq/ <br /> Pressure Suction SHOW STREETS,6LDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> Calibrated to 3 gph @ 10 psi FTA LEAK DETECTOR TEST INFOP.,",lIATIOPd Calibrate <br /> 10 PSI <br /> Opening Leak Functional <br /> LEAK DETECTOR KEY Disp#I LD Time Rate Element Metering <br /> Product Key Serial Number Resiliency In Seconds ML/Min Holding PSI PSI Pass/Fail <br /> A LD 2000 P / F <br /> B LD 2000 E <br /> P / F <br /> C FXI V <br /> P / F <br /> D FXI DV <br /> P / F <br /> E STPMLD <br /> P / F <br /> F STPMLD - D P / F <br /> G STPMLD - E <br /> H STPMLD - D/E Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION Tests were n'lade on the line systems as noted in accordance with test procedures <br /> Technician:Lyleno prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> LINE IDENTIFICATIONS--, NET VOLUME CHANGE PER HOUR <br /> PETROTITE CERT# ?.CSP PASS,/ FAIL / INCONCLUSIVE `'17r�L- �, <br /> 090993AO163 <br /> OTTL Lic#97-1143 PASS / FAIL / INCONCLUSIVE <br /> Trainee: PASS / FAIL / INCONCLUSIVE <br /> PASS / FAIL / INCONCLUSIVE <br /> EQUIPMENT:PETRO TITE LINE TESTER <br />