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Champion <br />Precision Tank Testing <br />License No. 73848 <br />Date: I - r�% • 4''1 <br />Site ID: 0pQ4 31 <br />Operator. Z�vwav Le ON <br />Site Address: t4 07 S V✓V-s i n( ST <br />City: S II NI—_ State: CA.. <br />zip:- Li OU L Phone:p09 LI12- 06-)0n <br />Product <br />Serial Number - <br />Resiliency <br />Opening Time <br />Test Leak Rate <br />Functional Element <br />Holding Pressure <br />Metering Pressure _ <br />Comments: <br />P.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 />On Job Site Time: 010c <br />Off Job Site Time: 13 o <br />Precision Leak Detector Test - F.T.A. <br />Tank # 1 <br />NLS <br />Tank # 2 <br />Tank #3 <br />Tank # 4 <br />I61 -U51 <br />V�, <br />3 5� <br />3G8u <br />I <br />14 <br />Pass I r <br />Fail ❑ <br />Pass ❑ <br />Fail ❑ <br />Pass ❑ <br />Fail ❑ <br />Pass ❑ <br />Fail ❑ <br />TECHNICIAN: William Campbell - LIC. 90-1324 Signatures Cert # <br />