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CONTRACTOR/ENGINEER <br />ORDERING TEST <br />SITE: <br />POD 36 26515 N. SACTO, BL. I LINE & LEAK DETECTOR <br />THORNTON, CA. 85686 FEST REPORT <br />209 794-0102 804 524-9087 <br />_ TEST DATE I- 13 - 7 7 <br />OPERATOR E. r, 14 W4 D7 -� SOA/S Station# <br />SITE ADDRESS 2 r. p/i✓E 57- <br />�?.,---)Yv _ <br />PHONE - .3 <br />REASON FOR TEST <br />U Pb 2A 6 F <br />XJLINE(s) ONLY 1ANK(S)-LINE(3 <br />LINE(8)-LFAK VET. <br />1 TANK(s)-LINE(s)-LEAK OCT. <br />MAKE A Ty" OF ❑W <br />OR DIMMER J <br />COVER OVER <br />LEM <br />ArFRO.X BURIAL <br />DEM -z , S <br />WRAMER Goin C'0./" , '/"' <br />PRSSSUIM MX, 5UCTION <br />LEAK DETECTOR <br />LOCATION SKETCH <br />ea- <br />Krao� <br />OWNER 1 C,/C . <br />ADDRESS <br />PHONE <br />�u�nc[�a news I/UaicB ISLANVS.PIPINU lrXNOWN rAlPSURUISPENSERS <br />FTA LEAK DETECTOR TEST INFORMATION <br />E No. LD Serial (1p en ng Test un oma <br />Number Reclllency Time Leak Rafe Elemenf <br />y TYPES: FWucr <br />!n Secandi Holdln I'SI <br />,9 XLD P/N 116036-5 i !1€Qo C� I �/Cj 1 r -� r <br />PLD PIN 116030-5 <br />XLP PIN 116035-5 <br />DLD PIN 116017-5 <br />BIFLD P/N 116012.5 <br />Nater <br />CONTRACTOR <br />CERTIFICATION <br />TEcIMIc[AN. YLE D. NIMMO <br />SiQtATUIIi�CERTOMF <br />, <br />PETR 8 090993AO163 <br />O L LIC N 11-1143 <br />Tr*w Evo,., <br />M k. ! _L -{I <br />Calibrate <br />10 PST <br />/d ng Yes / <br />FSI No <br />�f-/ i �P s <br />LINE TEST RESULTS <br />7aF., M If ERE AMDE ON 711E LINE S1577711S AS NOTM nV ACC'OROANCts HT171 MT <br />PRWEDURF M-WRIBFVFOR ASDETAjLADomINI�'TEST CHAR TONSIDE ] <br />OrTHIS FUM 17771 RESUL7SAS1'CMLWIPS. <br />LINE IDENTIFICA TION NET I'CIL UME C ANGE PER HUi <br />�f leis_A4 _PASSFAIL I INCONCLUSIVE <br />PASS / FAIL I INCONCLUSIVE <br />PASS F'All. / INCONCLUSIVE _r,r►Y <br />PASS., I JAIL / INCONCLUSIVE <br />