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416 2nd Street LEAK DETECTOR <br /> Afforda-Te$t Galt,California 95632 TEST REPORT <br /> 209 744-0112 800)524-9087 FAX 209 744-0116 <br /> Owner/Contractor/Eng: TEST DATE: 1 I I o ENVIRONMENTAL HEALTH AGENCY: <br /> i <br /> S : Mo"Oh, Lkeva.00 <br /> Zane A. N{mmo EXI present Not Present <br /> Phone: f I' TECH SICNATUR INSPECTORNAME'. l <br /> Operator Name: OTTL a 04-T676 ICC# 5263322-UT <br /> i LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B F1'LD20Q0X 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 cabooea`u <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> fromabove inseconds ML Per Minute Holdin PSI Pass/Fail <br /> g Do ( 6 P F <br /> P/F <br /> i <br /> 366) 3all <br /> P/F <br /> PIF <br /> gt Io <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />