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1 <br /> 00 4162nd Street Phone:(209)744-0112 LINE & LEAK DETECTOR <br /> Ord, ,-Te t Galt,Ca 95632 Fax:(209)744-0116 <br /> afforda ,softeum.net TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE 10/12/2017 <br /> SITE: C J' S CHEVRON <br /> 7501 11TH STREET <br /> TRACY, CA 95304 <br /> Repair/Construction LOCATION SKETCH Snow North <br /> ® Cp �AS <br /> e ®Owners Request <br /> InsuEscrow SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> ® Other T PIPING <br /> Make&Type of Pump or Dispenser <br /> F. E,PETRO/WAYNE <br /> Cover Over Lines W J <br /> CONCRETE ,ASPHALT �n1 /� q <br /> Approx Burial Depth Liv 9 2017 <br /> 2 -4 FEET <br /> Weather <br /> ENVIRONMENTAL HEALTH SUNN`S', BREEZY,MILD TEMP PERMIT/SERVICES • <br /> Pressure 0 1 Suction <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br /> Opening —Yost Leak 1 Elemom <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Motoring Pass/ <br /> Product Key Number seconds ML/mIn. P$1 PSI Fail <br /> A LD 2000 <br /> B LD 2000 1— <br /> C <br /> C FXI V <br /> D FXI DV <br /> E STPMLD <br /> F STPMLD— D <br /> G STPMLD — E <br /> H I STPMLD—D/E Notes: <br /> CONTRACTOR <br /> CERTIFICATION LINE TEST RESULTS <br /> Technician: Tests were made on the line systems as noted in accordance with test procedures <br /> Zane A•.Nirnmo prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> OTTL License#: 04-1676 <br /> PETROTITE CERT, OPASS ❑F—Al L INCONCLUSIVE <br /> #:CCA0202112304R 87 OCTANE ®PASS []FAIL ❑rNCONCLUszVE •0020 <br /> ICC# 5263322 UT <br /> Trainee-SHANNON REED 91 OCTANE ®PASS ❑FAIL ❑INCONCLUSIVE -.0020 <br /> DIESEL 2 ®PASS ❑FAIL ❑INCONCLUSIVE .0020 <br /> EQUIPMENT: ,PETRO T1TE LINE <br /> TESTER ❑PASS ❑PAIL ❑INCONCLUSIVE <br /> Notes: <br />