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fforda-Te t 4162""Street Phone:(209)744-0112 LINE & LEAK DETECTOR <br /> Galt,Ca 95632 Fax: (209)744-0116 TEST REPORT <br /> afforda@softcom.net <br /> CONTRACTOR/ENGINEER Elite IV <br /> TEST DATE 1 /27/ 12 <br /> SITE NAME Arch Road AM PM <br /> PHONE (� - <br /> SITE ADDRESS 48556 S. Highway 99 <br /> CITY : Stockton CA 95205 <br /> Repair/Construction LOCATION SKETCH Show North <br /> Compliance❑ Owners Request <br /> Insurance ❑ Escrow <br /> ❑ Other <br /> Make&Type of Pump or Dispenser <br /> Gilbarco/RJ <br /> Cover Over Lines <br /> Approx Burial Depth <br /> Weather <br /> Pressure Suction SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION Io PSI <br /> Opening Test Leak I Element <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Metering Pass/ <br /> Product Kev Number Seconds MUMin. PSI PSI Fail <br /> A LD 2000 <br /> B LD 2000 E <br /> C FXI V <br /> D FXI DV <br /> E STPMLD <br /> F I STPMLD — D <br /> G STPMLD — E <br /> H STPMLD—D/E Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION <br /> Technician: Lyle Nimmo Tests were made on the line systems as noted in accordance with test procedures <br /> prescribed for as detailed on the test chart on Side 2 ofthis form with results as follows: <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> PETROTITECERT.#: CCA: 0201029110 87 RUL NPASS ❑FAIL ❑INCONCLUSIVE -,0050 <br /> ICC#5249115UT EX.6-30-11 PASS FAIL INCONCLUSIVE <br /> OTTL License#: 90-1143 EX. 12-31-12 <br /> Trainee: 89 PLUS SPASS ❑FAIL ❑INCONCLUSIVE -,0050 <br /> ❑PASS []FAIL []INCONCLUSIVE <br /> EQUIPMENT: PETRO TITEUNE TESTER PASS FAIL []INCONCLUSIVE <br />