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POB 36 26515 N. SACH BL. LINE & LEAKDETECTOR <br /> ffQzd�x--`( pg THORNTON, CA. 95686 <br /> 209 794-0102 800 524-9087 TEST REPORT <br /> CONTRACTOR/ENGINEER lrlrPCrr DATE <br /> ORDERING TEST <br /> [SITE: <br /> OPERATOR ,�f J(�uCu� Station# OWNER <br /> SITE ADDRESS /07 (o tiP ADDRESS <br /> PHONE _ <br /> PHONE <br /> REASON FOR TEST LOCATION SKETCH <br /> HOW Npi(T1 <br /> LINE(s)ONLY ANK(s)-LINE,S <br /> LINE(s)-LEAK DET. <br /> �( TANKM-LINE(s)-LEAK DET. <br /> MARE#TYPE OF PUMP <br /> OR DISPENSER (}.41 ,p f <br /> COVEROVER / (/ ,,rr <br /> LINES l�ice:H <br /> APPROX BURW, „Y, <br /> DEPiH <br /> WEATTTER I <br /> \L�,�I:rs r r r <br /> PRESSURE �X SUCTION SHOW STREETS BLDd$TANR ISLANDS;PIPING(IF KNOWN).PUMPS OR DISPENSERS <br /> LEAKDETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> Na. LD SerialTest 10 PSI <br /> E Number Resiliency Opening <br /> g Leak Rate Element PSIFun at S No <br /> y 7}PES: Product '�' 8 Yes/ <br /> In Seconds ML MIn Holdin PS/ <br /> XLD P/N 116036 5 / J3 <br /> 6 <br /> PLD P/N 116030-5 C,L : H <br /> XLP P/N 1160355 <br /> DLD P/N116017-5 <br /> F BFLD P/N 116012-5 <br /> G oncat/ knob <br /> L D zOC�r, Notes <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTMCATION TL•S7S HERE"ADEON 777ELINESYSTWSASNO7EDBJACCORDANCE WITH TEST <br /> rscIWICIAN: YLE D.NIMMO PROCEDURESPRESCRIBED FOR ASDETAILED ON THE TEST CHART ON&DE2 <br /> RIMA ...✓ /) �__ _ <br /> 0F77)ISFvRM{f7THRESUL7SASPOLLOHS: <br /> LINE IDENTIFICATION <br /> NET VOLUME C ANGE PER HOUR <br /> PETRf�YTE CERT.# 1 A0163 l✓A�( T PASS / FAQ / INCONCLUSIVE <br /> OCfL LIC # 91-1143143 �. <br /> PASS / FAIL / INCONCLUSIVE <br /> r�roe signnne 1 <br /> 6- r ASS / FAIL / INCONCLUSIVE <br /> FEATURING PETR MME �� <br /> UNETESTER PASS.. /.,FAIL / INCONCLUSIVE <br />