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POB 36 26515 N. SACTO. BL. LI E& LEAK DETECTOR <br /> FAf farba- (`��em# THORNTON, CA. 95686 TEST REPORT <br /> 209 794-0102 800 524-9087 <br /> CONTRACTOR/ENGINEER �. ' TEST DATE <br /> ORDERING TEST yn SITE: <br /> OPERATOR T S yr �.. , Station# OWNER <br /> SITE ADDRESS 64 -6 i �` Gd?,�, �y t A%-' . ADDRESS <br /> PHONE (- ,>a� nj f - $ a 1 PHONE <br /> REASON FOR TEST LOCATION SKETCII �. <br /> LINE(s)ONLYANK(s)-LINE(s <br /> UNE(s)-LEAK DET. <br /> L,j TANK(S)-LWRS)-LEAK DET. <br /> MARE A TYPE OF PUMF4= <br /> OR DISPENSER <br /> COVER OVER <br /> RM <br /> APPROX BURIAL _ <br /> DEPTH <br /> WPATHER - <br /> PRHSS11R6 ' SUCTION SNOW STREETS BLDdS TANKS.ISLAN PIPING F KNOWNI PUMPS OR DISPENSERS <br /> LEAKDETECTOR FTA LEAK DETECTOR TEST INFORMATION Crate <br /> 19PSI <br /> No. LD Serial Openi Test Functional pa/ <br /> E � Number Resiliency TJme Leak Rate Element PSI No <br /> y 77PES: PFodud In Seconds Hddin PS <br /> XLD P/N 116036-5 4 �r D(0 — <br /> BFLD(XL MODE <br /> PIN 1160 <br /> PLD PIN 116030-5 <br /> XLP P/N 116035-5 <br /> DLD P/N11601'7-5 <br /> BFLD P/N 116012-5 <br /> OTHER <br /> NM!!''/.ii. <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION T=R7:REMADE ON 771ELJNE SYSnUSASN07ED WACCORDANCE WIIN 7EST <br /> PROCEDURESPRESCRIBFD FOR ASDE!AILFDON7NETESTCHARPONSIDE1 <br /> lEC YLE..D.NIM-MOOF"USF 1W WMI RESUMSASME <br /> Pt7L.OWS: <br /> LINE IDENTIFICATION NET VOLUME CHANGE P11RHOUR <br /> PBTR CERT.0 090993AO163 ;' - (PASS)/ FAIL / INCONCLUSIVE <br /> OM, LIC M 91-1143 <br /> Tlsm Nm PASS / FAIL / INCONCLUSIVE <br /> 7sietSiVw PASS / FAIL / INCONCLUSIVE <br /> FEATURING PETR -TITS <br /> TESTER PASS_/ .FAIL / INCONCLUSIVE <br />