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Affarba-Trot <br />CONTRACTOR/ENGINEER <br />ORDERING TEST <br />SITE: <br />OPERATOR h o V I° s <br />SITE ADDRESS <br />I �o N <br />PHONE / <br />REASON FOR TEST r <br />LINE(s) ONLY `I <br />LW&B)-LEAK DET. <br />POR 36 76515 N. SACTO. BL. MNE & LEAK DETECTOR. <br />THORNTON, CA. 95686 TEST REPORT <br />209 794-0102 800 524-9087 <br />TEST DATE -/ 7 ` d -:z- <br />OWNER <br />areY1 j� ADDRESS <br />- PnoNE <br />1,0CA7110N SKF,TCll t«Mn <br />ANK(s)-LIN <br />I I TANKMYLINE(s)-LEAK DET. <br />MARE A TYPE OF rtlJ t je <br />OR OMPENSER ( <br />COVER OVER — <br />LWEE <br />APPROX HURW, t ' — <br />DFYM <br />WP�ITI�R f <br />SUCTION 1. 1 15ilow <br />LEAK DETECTOR <br />V IA LEAK I -MY UTUR TEST INFORMATION <br />PASS / FAIL / INCONCLUSIVE <br />OQ 0 <br />ASS / FAIL / INCONCLUSIVE <br />O7, <br />AS / FAIL / INCONCLUSIVE <br />— D/ <br />�`''wrm <br />y TIPS <br />No. <br />Pf^odwct <br />LD <br />KLY <br />Serial <br />Number <br />Resiliency <br />(I en ng <br />pp <br />Me' <br />Test <br />leak Rate <br />wh <br />Elemart <br />RSI <br />1VI i <br />In Seconds <br />Hd PIS <br />r <br />XLD P/N 116036-3 <br />1 filo <br />/4006-`L <br />D(XLM DEL <br />Fix S <br />PLD P/N 116030-5 <br />r%i� <br />�y <br />!9/p�� 006-1 <br />PM 116035-5 <br />DEXLP <br />PIN 116017-5 <br />z <br />%) <br />d 13 / �] 9� <br />a <br />,rf <br />BFLD PIN 116012-5 <br />40- <br />L► <br />h V 1 <br />CONTRACTOR <br />CERTIFICATION <br />TECIHMCI �YE�DS,. NIMMO <br />eaN�nsu t <br />PLTRUMR CERT. N 090993A0163 <br />OfTL LIC N "-1143 <br />LINE TEST RESULTS <br />I'MUSIf FREAlAU60N111F,IJNES)=WSASNO EDMACCORDANCICp'/7N7SST <br />PR(X •EUURr,S Pl?&%'It /BF]) MR AS DETAILED ON ME 7MCHARrONSM 2 <br />Or711ISMRU IITIII RESULTSAS <br />LlIVEIUE/VIIFIGA" NET VOL VMS C <br />O I e S J <br />PASS / FAIL / INCONCLUSIVE <br />OQ 0 <br />ASS / FAIL / INCONCLUSIVE <br />O7, <br />AS / FAIL / INCONCLUSIVE <br />— D/ <br />PASS / .FAIL / INCONCLUSIVE <br />