Laserfiche WebLink
AEE RDA- I 416 2nd Street Galt CA 95632 LINE & LEAK DETECTOR <br /> TE$T 209) 744-0112 FAX (209) 744-0116 TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE ( d <br /> SITE NAME t!©Ve 5 f la5c ak7452 PHONE ( <br /> (. <br /> [ -(.=I <br /> ADDRESS S 01-40N'r <br /> Repair/Construction LOCATION SKETCH Show North <br /> Compliance b <br /> Insurance <br /> Escrow <br /> Make&Type of Pump or Dispenser <br /> re- <br /> Cover Over Lines <br /> CVA(�tf p &I ;-b <br /> ptE <br /> Approx Burial Depth 0T7- <br /> 56 <br /> Weather <br /> Siakq P <br /> Pressure Suction I SHOW STREETS, BLDGS,TANKS, ISLANDS, PIPING(IF KNOWN), PUMPS OR DISPENSERS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION calibrate <br /> 10 PSI <br /> Opening I Element <br /> LD Serial Time In Test Leak Holding Pass/ <br /> KEY TYPES No/Product Key Number Resiliency Seconds Rate ML/Min PSI Metering PSI Fail <br /> A LD 2000 le ` -r-Z <br /> B LD 2000 qq <br /> C FXI V Die Z F: T- I i n k <br /> D FXI DV <br /> E STPMLD 31c) <br /> F STPMLD - D dl r'tb <br /> G STPMLD - E <br /> H STPMLD - D/E Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION Tests were made on the line systems as noted in accordance with test procedures <br /> Technician:Zane A. Nimmo prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> LtNf IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> PETROTITE CERT# ) PASS / AIL / INCONCLUSIVE .0CD( <br /> CCA0202112304R <br /> OTTL Lic#04-1676 " PASSE/ FAIL / INCONCLUSIVE <br /> Trainee: � E� PASS\/ FAIL / INCONCLUSIVE -4- <br /> - ICA <br /> PASS / FAIL / INCONCLUSIVE <br /> QUIPMENT:PETRO TITE LINE TESTER <br />