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POB 36 26515 N. SACTO. BL, �1�E & LEAK DETECTOR <br /> , <br /> fkx,. e THORNTON, CA. 95686 TEST REPORT <br /> CONT'RACTOR/ENGINEER <br /> (209 794-0102 800 524-9087 <br /> TEST DATE <br /> . <br /> ORDERING TEST <br /> SITE: <br /> OPERATOR �� .)',<<r �f-! ��' ' Station# _ OWNER <br /> SITE ADDRESS ADDRESS <br /> PHONE ` '' � - PHONE - <br /> ... .. .... .„....y...rvr-....... _. ........ .:............. .......:_..... .... .wr. ... ...a._mow ay.v.,+..._. .✓.• ..-n!e 'r Niir. .. r: ...e..+. .n/ <br /> REASON FOR TEST LOCATION SKETCH <br /> LINE(s)ONLY ANK(s)-LINE(s <br /> LINE(s)-LEAK DET. <br /> TANK(s)-LINE(s)-LEAK DET. <br /> MAKE do"TYPE OF PUMP,+' <br /> OR DISPENSER <br /> COVER OVER ti <br /> LINES <br /> APPROX BURIAL <br /> DEPTH p 1 <br /> WEAMER <br /> PRESSURE SUCTION Lj I SHOW STREETS.BLDOS,TANKS,ISLANDS;PIPING(IF"OWNL PUMPS OR DISPENSERS <br /> FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> LEAK DETECTOR 10 PSI <br /> No. LD Serial Opening Testunciona etering Fes/ <br /> Number Resiliency Time Leak Rate Element PSI No <br /> E <br /> TYPES.• Product In Seconds MLIMin Holding <br /> PSI <br /> XLD PIN 116036-5 <br /> BFLD (XL MODEL o <br /> 116039-5 <br /> C PLD P/N 116030-5 / <br /> XLP P/N 116035-5 <br /> DLD PIN116017-5 <br /> BFLD PIN 116012-5 <br /> OTHER <br /> Notes <br /> CONTRACTOR. LINE TEST RESULTS <br /> CERTIFICATION TESTS kZ'RE A1ADE ON 771ELINE SYSTEMS AS NOTED IN ACCORDANCE WIM TEST <br /> PROCEDURES PRESCRIBED FOR AS DETAILED ON THE TEST CHART ON SIDE 2 <br /> TECHMCIAN• LYLE.D...NEVIMO 0FTI11SIURMff'711RESULTSASFOLLOWS: <br /> SIGNATURE � LINE IDENTIFICATION--- NET VOLUME CHANGE PER HOUR <br /> PETRO7IPI'E CERT.#090993AO163 r ',Jj� PASS / FAIL / INCONCLUSIVE <br /> OrM LIC # 91-1143 <br /> TminmNema (hU �-.' ` '`' PASS FAIL / INCONCLUSIVE <br /> TrEdneeSiputwe /� )U i2 rrz� , PASS,,// FAIL / INCONCLUSIVE . C70 <br /> FEATURING PETR -TjTE <br /> LINE TESTER PASS_. /. .FAIL / INCONCLUSIVE <br />