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416 2nd <br /> Galt <br /> 95632 <br /> AFFORDA-TE$T Street(209) 744-0112 FAX (2 9)744 0116 LINE &STA TOR <br /> REPORT <br /> jNTRACTOR/ENGINEER J �p TEST DATE <br /> SITE NAME nPd luFd2dn/� �A<.�[ rI �A5`� �O PHONE ( ) <br /> ADDRESS /0$78 A/ 1/r✓7" 9 <br /> oA/ C'G4 SQL <br /> Repair/Construction LOCATION SKETCH Show North <br /> J( Compliance <br /> Insurance <br /> Escrow <br /> Make&Type of Pump or Dispenser <br /> Cover Over Lines <br /> 4L (�itc.r?�ET� <br /> Approx Burial Depth <br /> e-e� <br /> Weather <br /> KWA/` <br /> Pressure SUCtiOrl SHOW STREETS,BLDGS,TANKS, ISLANDS,PIPING(IF KNOWN), PUMPS OR DISPENSERS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION Catibraa <br /> 10 PSI <br /> Opening I Element <br /> LD Serial Time In Test Leak Holding Pass/ <br /> KEY TYPES No/Product Key Number Resiliency Seconds Rate ML/Min PSI Metering PSI ((Fail <br /> A LD 2000 8 G100 tegA 1 Z 1 <br /> B LD 2000 E <br /> C FXI V IZS zt QAC <br /> D FXI DV <br /> E STPMLD L po 3 189 L3 t -2— <br /> F <br /> F STPMLD-D / n <br /> G STPMLD-E D (O RS 189!3 20 t t �n sem_ <br /> H STPMLD-D/E Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION Tests were made on the line systems as noted in accordance with test procedures <br /> Technician:Zane A.Nimmo prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> ROTITE CERT# <br /> t,.,A0202112304R e CV---T - AS )FAIL / INCONCLUSIVE — , o o (v o <br /> 20211 <br /> OTTLLic#o4-1676 PASS FAIL / INCONCLUSIVE �- .000�-- <br /> Trainee: G ( C,--, P7CSFAIL / INCONCLUSIVE L o000 <br /> lEFJE� ASS FAIL / INCONCLUSIVE — , 0 / o <br /> EQUIPMENT:PETRO TIE LINE TESTER <br />