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^pa-Tet <br />110rdGalt, <br />416 2"d Street Phone: (209) 744-0112 LINE & LEAK DETECTOR <br />Ca 95632 Fax: (209) 744-0116 TEST REPORT <br />afforda@softcom.net <br />CONTRACTOR/ENGINEER <br />SITE NAME:LOVES TRAVEL CENTERaUG <br />2 9 2Q16 TEST DATE 08-10-16 <br />SITE ADDRESS 1553 COLONY RD <br />PHONE ( ) - <br />CITY RIPON CA 95366 <br />EWRONMENTAL HEALTH <br />PERMIMERAOES <br />❑ Repair/Construction <br />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 />CONCRETE <br />Approx Burial Depth <br />45' <br />Weather <br />SUNNY <br />SHOW STREETS, BLDGS, TANKS, ISLANDS, PIPING (IF KNOWN), PUMPS OR DISPENSERS <br />® Pressure Suction ❑ <br />Calibrate <br />LEAK DETECTOR <br />FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br />Opening <br />Test Leak <br />I Element <br />KEY <br />TYPES <br />No/ <br />LD <br />Serial <br />Resiliency <br />Time In <br />Rate <br />Holding <br />Metering <br />Pass/ <br />Product <br />Key <br />Number <br />Seconds <br />MLIMin. <br />PSI <br />PSI <br />Fail <br />A <br />LD 2000 <br />87 <br />A <br />175 <br />3 <br />189/1 <br />33 <br />24 <br />PASS <br />B <br />I LD 2000 E <br />C <br />FXI V <br />91 <br />A <br />200 <br />4 <br />189/1 <br />38 <br />27 <br />PASS <br />D <br />FXI DV <br />E <br />STPMLD <br />DIE 1 <br />B <br />300 <br />5 <br />189/1 <br />32 <br />19 <br />PASS <br />F <br />STPMLD — D <br />G <br />STPMLD — E <br />DIE 2 <br />B <br />350 1 <br />4 <br />189/1 <br />33 <br />20 <br />PASS <br />H <br />STPMLD—D/E <br />Notes: <br />CONTRACTOR <br />CERTIFICATION <br />LINE TEST RESULTS <br />Technician: <br />Tests were made on the line systems as noted in accordance with test procedures <br />Felix Ramirez <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 <br />87 OCT ®PASS ❑FAIL []INCONCLUSIVE .0000 <br />OTTL License #: 08-1740 <br />[]PASS ❑FAIL ❑INCONCLUSIVE <br />Trainee: <br />91 OCT ®PASS ❑FAIL ❑INCONCLUSIVE .0010 <br />ED STEARNS <br />❑PASS ❑FAIL ❑INCONCLUSIVE <br />EQUIPMENT: PETRO TITE LINE TESTER <br />DIE ®PASS []FAIL ❑INCONCLUSIVE .0000 <br />