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POB 36 26515 N. SACTO, BL. TrNE & LEAK DETECTOR <br /> THORNTON, CA. 95686 TEST REPORT <br /> 209 794-0102 800 524-9087 <br /> CONTRACTOR/ENGINEER TEST DATE 3 <br /> ORDERING TEST <br /> SITE: <br /> OPERATOR - - stationb OWNER <br /> SITE ADDRESS ADDRESS <br /> Srm� fi© v <br /> PHONE Y - PHONE <br /> REASO FOR TE.S]� LOCATION SKETCH K y U /-_">f <br /> --- -- <br /> LINE(i)ONLY TANK(S)-L114RS l _J <br /> LD7F.(sR-E IK DET. <br /> 3 <br /> TANKS)-LDJ 8H,FAK DET. 7 <br /> l _ <br /> Tv"onN•rvreeee or } 1�u <br /> atO - <br /> COvaa oven <br /> LDM N nr rC fF SH <br /> ,vraox euaw K <br /> DIM 3 (3 of 1 t <br /> WRATIM F6+r kc,13 <br /> r7lPRESSURE SUCTION SNOW SIKEETS el M TANKS,13L NDS nPMO flFKNOWN PUMPS OR DISPENSERS <br /> [PLD <br /> ETECTOR FTA LEAK DETECTOR TEST INFORMATION <br /> 0 PS <br /> Serial pp Tett rn on et Yet/ <br /> No N�,mber RetiUmey 11me Leat Rate Element PSI Ne <br /> Plod el res cond, oldie PSP/M116036-3 / QkA UD„93 �"/N 116030 6 3 uL O6$lo r0 O / 0 <br /> /N 1160333/NI16017-5 uP /P/N 1160123 <br /> Nota <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION T ESTS RFREA/ADE ON THELINESYSTEWSASNOIFD bV ACCORDANCE N7THTDST <br /> PROCEDURESPRESCRIRRDPOR ASDETARFD ON THE MSTCHARMNSM52 <br /> TECWW L 1MM0 0FTHI9P0RA4;vM1RESULTSASPOLL0RB: <br /> LINEIDENTiFICATION NET VOL UMECHANGE PER HOU <br /> PETROCERT.N OM93AO163 /�qL o,� PAS / FAIL / INCONCLUSIVE DO/U <br /> OTM LIC N 97-043 - <br /> /VE PASS / FAIL / INCONCLUSIVE t 0000 <br /> TM"'e""• +� �i� PASS / FAIL / INCONCLUSIVE 0�0 <br /> FMTURbW PETRaTfTE <br /> PASS / FAIL / INCONCLUSIVE <br />