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Afforda-Te$t California42nd Street LEAK DETECTOR <br /> Galt,C 95632 <br /> et <br /> 209 744-0112 800 524-9087 FAX 209 744-0116 TEST REPORT <br /> Owner/Contractor/Eng: TEST DATE: U 210 ENVIRONMENTAL HEALTH AGENCY: <br /> SITENAME: l � T�vGIC �YI <br /> x`(31 M . r 'po5c Lyle A Nimmo <br /> —,4-DGl2twY3 C. Present Not Present <br /> Phone: J Oc1 — TECHSIGNATURE: INSPECTOR NAME: t <br /> Operator Name: OTTL # 97-1f43 ICC#5249115-UT <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FL <br /> XIV <br /> 9 LD2000 D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION Celibmtedto <br /> Io si <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> from above in seconds MI erMinute Holdin PSI Pass/Fail <br /> 7 apC3F <br /> / P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> G <br />