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4162nd Street Phone: (209)744-0112 LINE & LEAK DETECTOR <br /> I I 1 lT Galt,Ca 95632 Fax: (209)744-0116 TEST REPORT <br /> CONTRACTOR/ENGINEER _ TEST DATE 4/13/2017 <br /> SITE:JAHANT FOOD AND FUEL <br /> 24323 N. HWY 99 <br /> ACAMPO , CA 95220 <br /> Repair/Construction LOCATION SKETCH Show North <br /> Compliance X Owners Request <br /> Insurance ❑ Escrow SHOW STREETS,SLOGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> Other IN LUE OF Shut Down <br /> Make&Type of Pump or Dispenser RE F/Vf E��� <br /> RED JACKET fi <br /> Cover Over Lines <br /> CONCRETE APR 2 G 2017 <br /> Approx Burial Depth ENVIRONMENTAL HEALTH <br /> 2-4 FEET PERMIT/SERVICES <br /> Weather <br /> RAINY , CLOUDY, COOL <br /> Pressure 0 11 uction <br /> Calibrate <br /> w LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br /> opening Test Leak I Element <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Metering Pass/ <br /> = Product Key Number Seconds ML/Min. PSI PSI Fail <br /> A I LD 2000 <br /> B LD 2000 E DSL B 50 3 189/ 1 32 22 PASS <br /> C FXI V <br /> D FXI DV 87 B 100 3 189/ 1 31 22 PASS <br /> E STPMLD <br /> F STPMLD — D 89 B 80 4 189/ 1 31 21 PASS <br /> G STPMLD — E 91 B 80 3 189/ 1 31 21 PASS <br /> H I STPMLD—D/E Notes: <br /> CONTRACTOR <br /> CERTIFICATION LINE TEST RESULTS <br /> Technician: Tests were made on the line systems as noted in accordance with test procedures <br /> 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 /> OTTL License#: 04-1676 <br /> PETROTITE CERT. PASS FAIL INCONCLUSIVE <br /> #:CCA0202112304R DIESEL ®PASS []FAIL ❑INCONCLUSIVE <br /> ICC# 5263322 UT <br /> Trainee:JOSH POWELLPASS FAIL INCONCLUSIVE <br /> ❑PASS FAIL ❑ INCONCLUSIVE <br /> EQUIPMENT: PETRO TITE LINE ❑PASS []FAIL ❑INCONCLUSIVE <br /> TESTER <br /> Notes: <br />