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OIL EQUIPMENT SERE <br />Division of Keith A. Tallia, Inc. <br />STATE LICENSE No. 323417 <br />CLASSIFICATION: A -RAZ., C61I340 <br />STATE ENVIRONMENTAL ASSESSOR No. 01781 <br />Telephone: (249) 754-1848 <br />License No. 73848 Fax: (209) 754-5726 <br />Post Office Box 950 <br />750 Industrial Way <br />SAN ANDREAS, CALIFORNIA 95249 <br />Late: �is ------ —___ Site ID: <br />ID: <br />Operator. . D . VA IS—= . r= S ^�" <br />Site Address: '' " , 1 ryLPr: <br />City: State: <br />Zip: Phone:. <br />Petro - Tite Precision Line Test <br />System Type: Pressure ❑ Type Suction U Type <br />Piping: Steel P1, 'Fiberglass ❑ Other: <br />Secondary Containment Yes ❑ No 'M Leak Detector Yes ❑ No <br />Pump Operating Pressure: l\1 /-\ <br />Line Isolation Method: L1-4+-� �s <br />Test Start Time: a�. <br />Test Finish Time: <br />ISO% Test Pressure riff I A <br />Comments: <br />15 Minute Reading Pressure Volume Net Change <br />Product Before After Before After <br />1-) <br />Eine Test Criterion Pass 0 Fail ❑ <br />Steed Back Criterion Pass ❑ Fail ❑ <br />Comments: <br />15 Minute Reading _ Pressure _ Volume Net Change <br />Product Before After Before After <br />3. <br />4.)- <br />5.) <br />Line Test Criterion Pass ❑ Fail ❑ <br />Bleed Back Criterion Pass ❑ Fail ❑ <br />Comments: <br />TECHNICIAN: William Campbell - LIC. 90-1324 - SIGNATURE\. Date: It, -1 — Q I, _ <br />