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fforda-Tet 4162"d Street Phone:(209)744-0112 LINE & LEAK DETECTOR <br /> Galt,Ca 95632 Fax: (209)744-0116 TEST REPORT <br /> afforda@softeom.net <br /> CONTRACTOR/ENGINEER <br /> SITE NAME:JSG TRUCKING TEST DATE 10-29-13 <br /> SITE ADDRESS 194000 N HWY 99 PHONE (209) 368 -8815 <br /> CITY ACAMPO CA 95220 <br /> ❑ Repair/Construction LOCATION SKETCH snow North <br /> ® Compliance ❑ Owners Request <br /> Insurance ❑ Escrow <br /> ❑ Other <br /> Make&Type of Pump or Dispenser <br /> PE PETRO <br /> Cover Over Lines <br /> DIRT/GRAVEL <br /> MAR 3 4 2015 <br /> Approx Burial Depth <br /> 5-6 FT ;NVIRONMENTv <br /> Weather <br /> SUNNY <br /> ® I Pressure I Suction ❑ SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br /> Opening Test Leak I Element <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Metering Pass/ <br /> Product Key Number Seconds ML/Min. PSI PSI Fail <br /> A I LD 2000 <br /> B LD 2000 E <br /> C FXI V <br /> D FXI DV <br /> E STPMLD <br /> F STPIVILD — D <br /> G �STP <br /> D — E <br /> H D—D/ENotes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION <br /> Technician: Tests were made on the line systems as noted in accordance with test procedures <br /> Felix Ramirez 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 /> PETROTITE CERT.#: CCA:020303281 IC DIESEL ®PASS ❑FAIL []INCONCLUSIVE .0005 <br /> OTTL License#:08-1740 []PASS []FAIL ❑INCONCLUSIVE <br /> Trainee: ❑PASS ❑FAIL ❑INCONCLUSIVE <br /> [—]PASS []FAIL ❑INCONCLUSIVE <br /> EQUIPMENT: PETRO TITE LINE TESTER ❑PASS ❑FAIL []INCONCLUSIVE <br />