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POB 36 26515 N. SACTO. BL. 7 WE & LEAKDETECTOR <br />f forba- Tvf. THORNTON, CA. 95686. <br />1f,209)794-0102 800 524-9087 TEST REPORT <br />CONTRACTOR/ENGINEER ITESTDATE t7 A' -D -:�7- <br />ORDERING TEST <br />SITE: <br />OPERATOR A&L 4/p JO/W Station# 7 - OWNER <br />SITE ADDRESS / �� �, /-��cf f; (,� �,/ ADDRESS <br />' PHONE <br />REASON FOR TEST <br />JC LINE(s) ONLY I ITANK(s}-LINE(s <br />LWE(s}-LEAK DET. <br />�TANK(s)-LM(s)-LLEAK DETLM(s)-LEAK DET. <br />0ORDIMAKEN7YPflOFP[�ISERbli��Ne <br />pqlp�)62� <br />COVER OVER ! LL <br />LIMS 1,1 <br />APPROX BURIAL r <br />DEPTH] <br />WEATHER <br />LOCATION SKETCH <br />PHONE ( J <br />.....awe. ... ... � .,•N �— � .r •.2..w, r .r.nx.v�:�.5+=wt+�MN+.r1Y�gw,- nr.vn tl.. -NY-tt: rt• •� . ...•vJ <br />PRESSURE SUCTION ffisHow STREETS, BLDds TANK$ ISLANDS: PIPING RF KNOWN[ PUMPS OR DISPIINsrm <br />Calibrate <br />FTA LEAK DETECTOR TEST INFORMATION <br />LEAK DETECTOR 10 PSI <br />No. LD Serial Opening Test Functional etering Yes / <br />E VX Number Resiliency Time Leak Rate Element PSI No <br />y TYPES: Product In Seconds MUMin Holdin PSI <br />XLD P/N 116036-5 /l <br />IFPLD P/N 116030-5 <br />XLP P/N 116035-5 <br />DLD P/N116017-5 <br />BFLD P/N 116012-5 <br />OTHER <br />Notes <br />CONTRACTOR. LINE TEST RESULTS <br />CERTIFICATION TESTS HERE AIADE ON 771EL1NE SYS77USAS NOTED DV ACCORDANCE WITH TEST <br />PROCEDURES PRESCRIBED FOR AS DETAILED ON THE TEST CHART ON SIDE 1 <br />TECHMCIAN: YLE :Dy NIMMO OF77-JIS MRM if9T71 RESULTSASF0LLOHS: <br />RS <br />6IGNATU; <br />c ,%+ f LINE IDENTIFICATIONNET VOLUME CkIANGE PER HOUR <br />PETROTP1jE- CERT. # 090993AO163 Z:( _ PASS / FAIL / INCONCLUSIVE <br />OM LIC 0 91-1143 <br />rradn,,N,,,,, s , PASS / FAIL / INCONCLUSIVE <br />Trmina sigmnn ', t / PASS / FAIL / INCONCLUSIVE rJ' <br />FEATURING PETR -TITS <br />LINE TESTER PASS •. / , •FAIL / INCONCLUSIVE <br />