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CONTRACTORIENGINEER <br />ORDERING TEST <br />POB 36 26515 N. SACTO. BL. 'VE & LEAK DETECTOR <br />THORNTON, CA. 95686. TEST REPORT <br />209 794-0102 800 524-9087 <br />TEST DATE ~- - d <br />SITE: <br />LD <br />V. <br />OPERATOR Station# <br />OWNER <br />SITE ADDRESS <br />ADDRESS <br />unctions <br />Element <br />Holdin PSI <br />etering <br />PSI <br />Yes / <br />No <br />XLD P/N 116036-5/rte <br />PHONE�; tf 4f - r j ``' <br />PHONE - <br />REASON FOR TEST <br />LINE(s) ONLY 1A-NK(S)-L1Nh(s <br />j� <br />LINE(S)-LEAK DET. <br />TANK(s)-LINE(S)-LEAK DET. <br />MAKE TYPE OF F ( ` <br />OR DISPENSER t a j�C (� f^ <br />COVER OVER Y <br />LINES (..f, (A C0 h �' "►`� <br />DEPTH 77 CT ' <br />LOCATION SKETCH <br />NOR -n <br />WEATHER <br />PRESSURE SUCTION SIIOW STREETS, BLD()S, TANK$ ISLANDS; PIPING (IP KNOWN,. PPUMPS OR DISPENSERS <br />LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibra10 PST <br />te <br />No. <br />E <br />y TYPES: Ptoduct <br />LD <br />V. <br />Serial <br />Number <br />Resiliency <br />Opening <br />Time <br />In Seconds <br />Test <br />Leak Rate <br />MUMin <br />unctions <br />Element <br />Holdin PSI <br />etering <br />PSI <br />Yes / <br />No <br />XLD P/N 116036-5/rte <br />(r <br />✓l <br />PIN 116039-5 <br />C JPLD P/N 116030-5 <br />XLP P/N 116035-5 <br />DLD P/N116017-5 <br />BFLD P/N 116012-5 <br />OTHER <br />srp bn 0— <br />Notes <br />CONTRACTOR LINE TEST RESULTS <br />CERTIFICATION TESTS KE'RE AIADE ON 7IIE LINE SYSTF IS AS NOTED iNACCORDANCE WFM TEST <br />PROCEDURES PRESCRIBED FOR AS DETAILED ON THE TEST CHART ON SIDE 2 <br />TECHMCI LYLE..D. NIN MO OF771ISMRMIi7THRESULTEASiMLLOWS. <br />SIONATMI LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br />IV <br />PETRO'IlMIE(�ERT. # 090993AO163 I�_�) ;. (PASS / FAIL / INCONCLUSIVE <br />O fTL 7.IC # -1 43 (.010 <br />Trainee Name PASS j FAIL / INCONCLUSIVE <br />r,aineesgmture Gam) Dte,o(PASS)/ FAIL / INCONCLUSIVE <br />FEATURING PETR -TITE <br />r n = -roc-rcn I PASS / FAIL / INCONCLUSIVE <br />