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AL <br />a <br />Trainee: <br />PASS I FAIL I INCONCLUSIVE <br />fDcl– <br />416 2nd Sty; 9632INE & LEAK DETECTOR <br />FF0F1D —TIN T <br />209)744-01 16 TEST REPORT <br />CONTRACTOR/ENGINEER <br />APR 13 2009 TEST DATE C>L4 I pG <br />ENVPERONNIENT HEALTH PHONE ( 209 <br />SITE NAME <br />ADDRESS <br />Repair/Construction <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />17rpressure <br />Calibrate <br />FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br />LEAK DETECTOR <br />Opening I Element <br />LD Serial Time In Test Leak - Holding Pass / <br />KEY TYPES NolProduct <br />Key Number Resiliency Seconds Rate ML/Min PSI Metering PSI Fail <br />loo Ll I Y <br />A LD 2000 <br />I" 200 ) <br />B LD 2000 E <br />�_ 1 <br />C FXI V <br />D FXI DV <br />p kir^S <br />E STPMLD <br />STPMLD-D <br />F <br />G STPMLD-E <br />H STPMLD - DIE Notes: <br />LINE TEST RESULTS <br />CONTRACTOR <br />Tests were made on the line systems as noted in accordance with test procedures <br />CERTIFICATION <br />Techn'clan: eliX Rami eZ <br />prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br />NET VOLUME CHANGE PER HOUR <br />LINE IDENTIFICATION <br />PET IITECERT (� <br />PASS FAIL I INCONCLUSIVE IC7 I <br />IC N5273934 -UT <br />PASS / FAIL / INCONCLUSIVE <br />OTTL N 08-1740 <br />PASS / FAIL / INCONCLUSIVE <br />Trainee: <br />PASS I FAIL I INCONCLUSIVE <br />fDcl– <br />