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Afforda-Te$t 416 Galt,CCalalind Streetfornia 95632 LEAK DETECTOR <br /> 209 744-0112 800 524-9087 FAX 209 744-0116 TEST REPORT <br /> Owner/Contractor/Eng: TEST DATE: o6 / 12-10ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME: l J f-UC)f—% t 52 r', d s <br /> S'te Address- z(3 M . 'r ,P01.5c j TF.CHN]rTANLyle D. Mmnw <br /> fl-t-D&t-DV-� C Present Not Present <br /> Phone: 7-,oe1 - TECH SIGNATURE: INSPECTORNAME: t 11}`P <br /> Operator Name: OTTL # 97-IM3 ICC#5249115-UT <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B 99 D2000 D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MT D-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION Calibmtedto <br /> lopsi <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> "above inseeonds MI erMinute Holdin PSI Pass/Fail <br /> F <br /> L P/F <br /> ` o� I P/ <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 />