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Al <br /> :H 416 2nd Street LEAK DETECTOR <br /> a- 1 Galt,California 95632 <br /> 1. 209 744-0112 800 524-9087 FAx 209 744-0116 TEST REPORT <br /> t1r�11eriC�iltracttrr t1R: TEST DATE: 12-11 c ENVIRO.NIIIENTAL HEALTH AGENCY: <br /> SITE NAME:LZ�-'O'(vp C � # -F-0 ock c <br /> ti' N elix Ramirez Present Not Present <br /> �n - of <br /> t-- <br /> Phoile: ) - 1 TECH SIGNATURE: <br /> INSPECTOR, <br /> Operator Name:5C 5i C OTTL#08-174 ICON5273934-UT r <br /> LEAD DETECTOR KEY <br /> =.D2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B LD2000fE D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION calibrated t° <br /> 10 si <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> fi-omabore) inseconds) per Minute Hotding PSI Pass/Fail <br /> 00 <br /> 1 O <br /> � 1nc_:( 2-0 Z 1 P F <br /> P /F <br /> �r - - <br /> P /F <br /> 1 � jCa f�j�f 3 II P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />