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fforda-qet 4162 Street Phone: (209)744-0112 LINE & LEAK DETECTOR <br /> Gait,Ca 95632 Fax: (209)744-0116 TEST REPORT <br /> afforda@softcom.net <br /> CONTRACTOR/ENGINEER TEST DATE 8/13/13 <br /> SITE: LOVE'S TRUCK PLAZA <br /> 1553 COLONY RD. <br /> RIPON, CA 95366 <br /> ❑ Repair/Construction LOCATION SKETCH Show North <br /> ® Compliance ® Owners Request SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> ® Insurance ❑ Escrow <br /> ® Other COMPLIANCE <br /> Make&Type of Pump or Dispenser SEE ATG FOR MAP REG, _ f <br /> FE PETRO/ GILBARCO <br /> Cover Over Lines 2 3 ^"1 <br /> CONCRETE <br /> Approx Burial Depth ENVIRONI'X. 1\'TAL <br /> 5-7 FT. HEALN-il ME <br /> Weather <br /> SUNNY, WARM <br /> Pressure ® Suction ❑ <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br /> Opening Test Leak I Element <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Metering Pass/ <br /> Product Key Number Seconds MUMin. PSI PSI Fail <br /> A LD 2000 <br /> B LD 2000 E 87 B 150 8 189/3 22 17 PASS <br /> C FXI V <br /> D FXI DV 91 B 1 225 12 189/3 21 19 PASS <br /> E STPMLD <br /> F STPMLD — D DIE N G DOES NOT DE- TECT LEAK FAIL <br /> G STPMLD — E DIE S G 290 2 189/3 9 19 PASS <br /> H STPMLD—D/E <br /> Notes: DIESEL Leak Detector to be replaced and retested by others. <br /> CONTRACTOR <br /> CERTIFICATION LINE TEST RESULTS <br /> Technician: Tests were made on the line systems as noted in accordance with test procedures <br /> Zane A.Nimmo 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. 87 OCT ®PASS ❑FAIL ❑INCONCLUSIVE .0000 <br /> #:CCA02021 12304R <br /> ICC# 5263322 UT ❑PASS ❑FAIL ❑ INCONCLUSIVE <br /> OTTL License#: 04-1676 <br /> Trainee:ED STEARNS 91 OCT ®PASS ❑FAIL ❑ INCONCLUSIVE .0000 <br /> DIESEL ®PASS []FAIL ❑ INCONCLUSIVE -1-,0060 <br /> EQUIPMENT: PETRO TITE LINE ❑PASS ❑FAIL ❑ INCONCLUSIVE <br /> TESTER <br /> J C, <br />