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Affvrjbra-{u,.� THORNTON, CA. 95686 FEST REPORT <br /> 209 794-0102 800 524-9087 <br /> CONTRACTOR/ENGINEER TEST DATE <br /> ORDERING TEST <br /> SITE: FAQ -� k C&y {MWAdA C�eJ°/0/J <br /> OPERATOR Station# b 0 OWNER <br /> SITE ADDRESS /Of—)f cy W� 67 ADDRESS <br /> S4OGy-�I)n1 cA / 5—Z) Z <br /> PHONE ZD9 93/ - 6 S l PHONE <br /> REASO,(V FOR TEST LOCATION SKETCH <br /> LINE(s)ONLY ANK(s)-LINE(s <br /> LWE(s}LEAK DET. <br /> TANK(s)-LINE(s)-LEAK DET. <br /> MAKE& <br /> NSE OF PUMP _ <br /> ORDISPENSER E L —( <br /> COVER OVER <br /> LaJEB CDl—�..dLLr--T�[.-, SFIa( � O 0 B O B <br /> APPROX BURIAL /I O <br /> DEPPH 9� <br /> i" B� DrFS <br /> WEATHER ' rPJdkx?.. G ��"1 87 . <br /> MIS- <br /> a � <br /> PRESSURE <br /> SUCTION 8i{pW Si7 EEf$BLUO$TALAR$IS DS!PIPING(IFKNOWNI PUMPS ORDISPENSERS <br /> FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> LEAK DETECTOR 10 PSI <br /> No. LD SerialOpening Test unctions elering Yes/ <br /> E KE Number I j Resiliency Time Leak Rate Element PSl No <br /> y TYPES: Produd in Seccnde MLMzn Holdin PSI <br /> XLD PIN 116036-5 <br /> DEL. <br /> 60 - <br /> C PLD P/N 116030-5 <br /> D XLP PM 116035-5 <br /> E DLD P/N116017-5 <br /> F BFLD PIN 116012-5 <br /> j pn¢a <br /> Notes <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION TESTS aTRE AMDE ON 7IJELJNE SYSTEMSAS NOTED INACCORDANCE"M TEST <br /> PROCEDURESPRESCRIBED FOR AS DETAILED ON ME TEST CHART ON SIDE 2 <br /> rechnici {: Zane A. Nimmo 0F7NJSF0J?M(fTTHRESULTEASFOLLOfiS: <br /> jLINE IDENTIFICATION NET VOLUME CFfANGE PER HOUR <br /> ETRO�f) PASS/ FAIL / INCONCLUSIVE U S <br /> T# CAA6M2'112304R <br /> ,QTTLLic#04-k676 or ( PASS)/ FAIL / INCONCLUSIVE no60 <br /> rain c: j /\ 9/ OGh PASS) / FAIL / INCONCLUSIVE <br /> EQUIPMENT'PETROTITELINETESTER jkSS� /,..FAIL / INCONCLUSIVE U 59 <br />