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Afforda Te$t POB 36 26515 N. SacramentoBlvd. LEAK DETECTOR <br /> Thornton, California N <br /> 209 794.0102 800 524-9087 FAX 209 794.0112 TEST REPORT o <br /> 0 <br /> Owner/Contractor/Eng: TEST DATE: (D) o ENVIRONMENTAL HEALTH AGENCY: to <br /> S orncia Ch6v to v p m <br /> CPU, c � <br /> c1+1'J qc Lyle D. Mmmo <br /> TR�QAW NAW Present =Not Present o <br /> • <br /> S oC A -5 <br /> Phone: - 0) ! - �:'� TECHSIGNATUEE: ,Ugal-lSGL+� INSPECTOR NAME: -fir �P <br /> Operator Name: <br /> oTrt,a 97.1143 <br /> 4) <br /> LEAK DETECTOR KEY <br /> m <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> m <br /> B 99LD2000 D FE Petro STP-MLD-E H Red Jacket FXIVD N <br /> Ct <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION a' ` `° <br /> to l <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> from above in seconds MI r Minute Holdin PSI Pass/Fall <br /> 0 / P F <br /> P/F o <br /> P/F <br /> P F <br /> 0 <br /> P/F <br /> r gq 3 a� i ra <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />