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IIII III Champion P.O. Box 13059 <br /> Sacramento CA 95813-3059 <br /> Precision Tank Testing CA 800-660-9443 <br /> License No. 73848 NV 800-949-9443 <br /> 1-916-927-1557 <br /> Fax: (916) 927-7345 <br /> Date: (i <br /> Site ID: ( MLI%cn <br /> Operator: Sunl )I-=ST L1 CJt xjrz <br /> Site Address: 45co1 E 17- <br /> City: <br /> ZCity: LOo I State: <br /> Zip: Phone:q,-Q--7j3-S-107Yo <br /> Petro -Tite Precision Line Test <br /> System Type: Pressure Typi���. Suction ❑ Type <br /> Piping: Steel Fiberglass ❑ Other: <br /> Secondary Containment Yes ❑ No N Leak Detector Yes 0 No ❑ <br /> Pump Operating Pressyre: �2% 150% Test Pressure 14 a P6L <br /> Line Isolation Method: 1,1 'N <br /> Test Start Time: 'l'-7Cr7 Test Finish Time: 1 Z100 <br /> 15 Minu Readin Pressure Volume Net Change <br /> Product .. Ltt NIL n Before After Before After <br /> 1 ) 34 U`L-. t: . 5-1 —i�C73 <br /> 2 ) 35 L+7 -1 -05(, <br /> 3. 3 7 (e - 056 —091 <br /> a) 3 +-I'L ,065 OS5 —C27o <br /> s) L4'L 0 •C30.� , 065 <br /> Line Test Criterion 1U t� Pass l8 Fail ❑ — Q05 <br /> Bleed Back Criterion h) Pass Ig. Fail ❑ -}- Ol n <br /> Comments: <br /> 15 Minute Readin Pressure Volume Net Change <br /> Product t �;L Before After Befor After <br /> 1. ' , — Mx�z <br /> z) 3+1 `-r z (XO <br /> 3) c3 H 1-}L. lX,n • C16X — CO 1 <br /> 4) <br /> 5) pass Fail ❑ <br /> Line Test Criterion <br /> Bleed Back Criterion 05c; Pass Fail ❑ 01 Y <br /> Comments: <br /> 15 Minute Readin Pressure Volume Net Change <br /> Product N Before After Before After <br /> 1. 0 2 Ukpg -- <br /> 2. 2 — 3 <br /> 3. 3 y 2 . ()Q56 U-1 — 001 <br /> 4. '3 44 a7? <br /> 5. Z u J <br /> Line TestCrderion l + Pass Fail ❑ " 00 150 <br /> Bleed Back Criterion OSS Pass Fail ❑ 11-031f <br /> Comments: \\1,' c�, <br /> TECHNICIAN: William Campbell - LIC. 90-1324-SIGNATURE:C, ) � Date: 7 - ale <br />