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RECEIVED <br /> AUG 21 2018 <br /> fforda Tet 416 2"`'Street Phone: (209)744-0112 LINE�LMAR <br /> Galt,Ca 95632 Fax: (209)744-0116 t1 1 <br /> afforda@softcom.net <br /> CONTRACTOR/ENGINEER <br /> SITE NAME:LOVES TEST DATE 08-09-18 <br /> SITE ADDRESS 1553 COLONY RD PHONE ( ) - <br /> CITY RIPON CA <br /> Repair/Construction LOCATION SKETCH Show North <br /> ® Compliance ❑ Owners Request <br /> Insurance ❑ Escrow <br /> El Other <br /> Make&Type of Pump or Dispenser <br /> PE PETRO <br /> Cover Over Lines <br /> CONCRETE <br /> Approx Burial Depth <br /> 45' <br /> Weather <br /> SUNNY <br /> ® Pressure SUCtIOrI 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 MUMin. PSI PSI Fail <br /> A LD 2000 87 A 150 5 189/1 34 20 PASS <br /> B LD 2000 E <br /> C FXI V 91 A 175 3 189/1 35 28 PASS <br /> D I FXI DV <br /> E STPMLD DIE.1 B 250 4 189/1 33 20 PASS <br /> F STPMLD — D <br /> G STPMLD — E DIE 2 B 300 4 189/1 33 19 PASS <br /> H STPMLD—D/E Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION <br /> Technician: 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 /> PETROTITE CERT.#: CCA:020303281 IC 87 OCT ®PASS ❑FAIL ❑INCONCLUSIVE .000 <br /> OTTL License#:08-1740 ❑PASS ❑FAIL ❑INCONCLUSIVE <br /> Trainee: 91 OCT NPASS ❑FAIL ❑INCONCLUSIVE .0000 <br /> JOSH POWELL ❑PASS ❑FAIL []INCONCLUSIVE <br /> EQUIPMENT: PETRO TITE LINE TESTER DIE NPASS ❑FAIL ❑INCONCLUSIVE -.0010 <br />