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0 <br />JChampion <br />Precision Tank Testing <br />License No. 73848 <br />Date- <br />Site I D. - <br />Operator: L b , m/s-r-m-4 a s 'L t�t0— , <br />Site Address: Ct 1 S , 1 /,LLPlL''� Z <br />City: State: CA . <br />Zip. Phone: _ `6 <br />System Type: Pressure 0 Type <br />Piping: Steel Fiberglass <br />Secondary Containment Yes <br />Pump Operating Pressure: KI /_� <br />Line Isolation Method: U --C, /1(, <br />Test Start Time:-'. � , <br />Petro - <br />❑ No <br />• <br />A.O. Box 13059 <br />Sacramento CA 95813-3059 <br />CA 800-660-9443 <br />NV 800-949-9443 <br />1-916-927-1557 <br />Fax: (916) 927-7345 <br />Tite Precision Line Test <br />_ Suclion �( Type -:E _I '44, <br />Other: <br />14 Leak Detector Yes ❑ No t4 <br />150% Test Pressure NV1_A <br />Test Finish Time: <br />Comments: <br />15 Minute Reading Pressure Volume Net Change <br />Product Before After Before After <br />Line Test Criterion Pass ❑ Fail ❑ <br />Bleed Back Criterion Pass ❑ Fail ❑ <br />Comments: <br />15 Minute Reading Pressure Volume Net Change <br />Product Before After Before After <br />1.) - <br />2.) _ <br />3.) - <br />Line Test Criterion Pass ❑ Fail ❑ <br />Bleed Back Criterion Pass ❑ Fail ❑ <br />Comments: <br />TECHNICIAN: William Campbell - LIC. 90-1324 - SIGNATURE�- _._ Date: z -I — QI• <br />