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fforda-Te t <br />416 2"d Street Phone: (209) 744-0112 <br />Galt, Ca 95632 Fax: (209) 744-0116 <br />afforda@softcom.net <br />LINE & LEAK DETECTOR <br />TEST REPORT <br />CONTRACTOR/ENGINEER <br />TEST DATE 10/12/2017 <br />SITE: C J'S CHEVRON <br />7501 11TH STREET <br />TRACY, CA 95304 <br />Repair/Construction <br />LOCATION SKETCH Show North <br />® Compliance ® Owners Request <br />SHOW STREETS, BLDGS, TANKS, ISLANDS, PIPING (IF KNOWN), PUMPS OR DISPENSERS <br />RECEIVE' <br />OCT 2 3 2011 <br />ENVIRONMENTAL HEAL <br />DEPARTMENT <br />❑ Insurance ❑ EScroW <br />® Other A S T PIPING <br />Make & Type of Pump or Dispenser <br />F. E. PETRO / WAYNE <br />Cover Over Lines <br />CONCRETE, ASPHALT <br />Approx Burial Depth <br />2 - 4 FEET <br />Weather <br />SUNNY, BREEZY, MILD TEMP <br />Pressure ® Suction <br />LEAK DETECTOR <br />FTA LEAK DETECTOR TEST INFORMATION <br />Calibrate <br />to PSI <br />KEY <br />TYPES <br />No/ LD Serial Resiliency <br />Product Key Number <br />Opening Test Leak <br />Time In Rate <br />Seconds ML/Min. <br />I Element <br />Holding Metering <br />PSI PSI <br />Pass/ <br />Fail <br />A <br />LD 2000 <br />B <br />LD 2000 E <br />C <br />FXI V <br />D <br />FXI DV <br />E <br />STPMLD <br />F <br />STPMLD — D <br />G <br />STPMLD — E <br />H <br />STPMLD—D/E <br />Notes: <br />CONTRACTOR <br />CERTIFICATION <br />LINE TEST RESULTS <br />Technician: <br />Zane A.Nimmo <br />Tests were made on the line systems as noted in accordance with test procedures <br />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. <br />#:CCA0202112304R <br />ICC# 5263322 UT <br />❑PASS ❑FAIL ❑INCONCLUSIVE <br />87 OCTANE <br />®PASS ❑FAIL [j INCONCLUSIVE <br />-.0020 <br />Trainee:SHANNON REED <br />91 <br />OCTANE <br />®PASS ❑FAIL ❑ INCONCLUSIVE <br />-.0020 <br />DIESEL 2 <br />®PASS ❑FAIL ❑ INCONCLUSIVE <br />-.0020 <br />EQUIPMENT: PETRO TITE LINE <br />TESTER <br />❑PASS []FAIL ❑ INCONCLUSIVE <br />Notes: <br />n <br />