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��F��®�►-�.� T <br />416 2nd Street Galt CA 95632 <br />LINE & LEAK DETECTOR <br />(209) 744-0112 FAX(209)744-011t) <br />TEST REPORT <br />CONTRACTOR/ENGINEER <br />TEST DATE eD <br />SITE NAME C�cD V�f S' <br />_4: PHONE <br />ADDRESS -5-3 K-0 e-'- o d <br />2 �v A-) <br />Repair/Construction <br />Compliance <br />Insurance <br />Escrow <br />LOCATION SKETCH Show North <br />X <br />Make & Type of Pump or Dispenser <br />F. E_ 'Pe--iW <br />Cover Over Lines <br />o�cJ k- <br />Approx Burial Depth <br />3 <br />Weather <br />�fi lJ to Ik �Nj <br />SHOW STREETS, BLDGS, TANKS, ISLANDS, PIPING (IF KNOWN), PUMPS OR DISPENSERS <br />�c <br />Pressure Suction <br />LEAK DETECTOR <br />FTA LEAK DETECTOR TEST INFORMATION Calibrate <br />10 PSI <br />Opening <br />I Element <br />LD <br />Serial <br />Time In <br />Test Leak <br />Holding <br />Pass/ <br />KEY TYPES <br />No/Product <br />Key <br />Number <br />Resiliency <br />Seconds <br />Rate ML/Min <br />PSI <br />Metering PSI <br />Fail <br />A <br />LD 2000 <br />S"T- <br />( <br />Z� <br />i`'AS <br />B <br />LD 2000 E <br />C <br />FXI V <br />Ct <br />2 ( <br />Zg <br />sS <br />D <br />FXI DV <br />E <br />STPMLD <br />/E r <br />F <br />j Q <br />3 <br />2-� <br />S <br />F <br />STPMLD - D <br />G <br />STPMLD-E <br />H <br />STPMLD - D/E <br />Notes: <br />CONTRACTOR <br />LINE TEST RESULTS <br />CERTIFICATION <br />Tests were made on the line systems as noted in accordance with test procedures <br />Technician: Zane A. Nimmo <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# <br />g� <br />ASS / FAIL / INCONCLUSIVE Q DOU <br />XA0202112304R <br />DTTL Lic#04-1676PASS <br />FAIL / INCONCLUSIVE , 0000 <br />Trainee: <br />,okra PAS -?FAIL / INCONCLUSIVE f . ©poo <br />co� <br />:QUIPMENT: <br />,ESF(- <br />,Q/rG,►� PASS /FAIL /INCONCLUSIVE '�, d bC>o <br />PETRO TITE LINE TESTER <br />