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6 2nd <br /> C 956 <br /> AFFORDA-TE$T 201 744-0112 Street FAX It 9)744 3 LINE & LEAK DETECTOR <br /> TEST REPORT <br /> CONTRACTOR/ENGINEER <br /> TEST DATE 46 O <br /> SITE NAME laill ANT Foo FtA,E PHONE <br /> ADDRESS ZIA 3z3 N, 'ill( <br /> Ac-a n lDo 9 I <br /> Repair/Construction <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> SL&^1tir In/L�fZN1 <br /> Pressure Suction SHOW STREETS,BLDGS,TANKS, ISLANDS,PIPING(IF KNOWN), PUMPS OR DISPENSERS <br /> -LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION calibrate <br /> 0 enin 10 PSI <br /> P 9 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 <br /> B LD 2000 E <br /> C FXI V <br /> D FXI DV <br /> E STPMLD <br /> F STPMLD-D <br /> G STPMLD-E <br /> H STPMLD- D/E Notes: SEE L D oN r <br /> CONTRACTOR <br /> CERTIFICATION LINE TEST RESULTS <br /> Tests were made on the line systems as noted in accordance with test procedures <br /> Technician Z B A. Nimmo prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> E IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> OTITE CERT# <br /> CCA0202112304R PASS / FAIL / INCONCLUSIVE (/ A <br /> OTTL Lic#04-1676c r PASS / FAIL / INCONCLUSIVE /f A <br /> Trainee: `l D(J PASS / FAIL / INCONCLUSIVE 4 <br /> PASS / AIL / INCONCLUSIVE <br /> EQUIPMENT:PETRO TITE LINE TESTER <br />