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Jan 20 05 09: 41a Rff. da-Test (209M794-0112 P. 9 <br /> Futi s6 )6515 N. SAU"I'O. tib. LWL' & LLAA UBM-1'0) <br /> �.ffurba- a TlIORNTON, cA. ss686 TEST REPORT <br /> 209 794-0102 800 524-9087 <br /> CONTRACTOR/ENGINEER TEST DATE 01- ) 7 -0-5 <br /> ORDERING TEST <br /> SITE.. FA6-r t c&y IMWAdA <br /> OPERATOR Station# b 0 OWNER <br /> SITE ADDRESS IOJ7,t A) , HW�z Qq ADDRESS <br /> S-4 c- <br /> PHONE Z 09 3l - S Ll PHONE <br /> NP <br /> REASO FOR TEST LOCATION SKETCH D <br /> /J UA <br /> LINE(s)ONLY I rrANY(s)-1MlE(S) <br /> LINNs}LEAK DEP. <br /> TANK(s)-UNE(SA EAK DET. <br /> MASE a,TYPE OF F1W <br /> ORDISPENSER �E LJ �A<!�F—r <br /> COVEROVER <br /> Lam Cb1X'Rk"T rc.r�51` 0-(. oO O 9 0 E <br /> AFDPRO BURIAL <br /> ( 89 v� 9� <br /> WEATHER ' 8-7 <br /> � O <br /> PRBSSDRE SUCTION sm-M.Eire.el.Dds TANKS. PIMNO arKNMM PUMM OR O7M42M <br /> LEAS DETECTOR <br /> FTA LEAK DETECTOR TEST INFORMATION 10Psite <br /> m Tei andioa Smug YeT/ <br /> E NQ Number Resiliency une Leak Rde Elmeent PS! No . <br /> y TYPES Product In Secm d, MI/Mbr Xo PSI <br /> XLD P/N 116036 5 <br /> MODEL <br /> PLD P/N 116030-5 <br /> XLP P/N 116035-5 <br /> DLD P/NI16017-5 <br /> BFLD P/N 116012-5 j % <br /> Notes <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION TES73NEREAUDEON T7fELMSMI NSASNOTEDINACCORDANCE IVI7H TEST <br /> PROCEDURESPRESCRIEED FOR AS DETAfLFD ONTHE TEST CHART ON SIDE 2 <br /> Techn' ' ZaCe.A. Nimmo 0F7HISFVRM N777fRESUL7SASFVLLO S: <br /> LINH fDENTlF1CATION NET VOLUME C!lANGE PER HOUR <br /> 7 pch PASS FAIL / INCONCLUSIVE — o <br /> PETROT S <br /> 1_PTTCT.ic'H04- 676 06-c PAS / FAIL / INCONCLUSIVE 0a U <br /> Trainee: I .�- - 9� VU" AS / FAIL I INCONCLUSIVE USS <br /> EQUIP PETRO TITE LINE TESTER =E PASS ,/..FAIL / INCONCLUSIVE �U <br />