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AFFORD -TET 416 2nd Street Galt CA 9563 LINE & LEAK DETECTOR <br /> (209) 744-0112 FAX (209) 744-011 TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE ' ' <br /> SITE NAME ��>C <br /> ADDRESS <br /> Repair/Construction 71 LOCATION SKETCH <br /> Show North <br /> Compliance <br /> Insurance — — <br /> Escrow <br /> Make &Type of Pump or 71P <br /> enser l <br /> �L� <br /> Cover Over Lines <br /> � F <br /> Approx Burial Depth A A- <br /> 3 L � 91 <br /> Weat r <br /> 0 <br /> Pressur SUCtIOn SHOW STREETS, BLDGS,TANKS, ISLANDS,PIPING(IF KNOWN), PUMPS OR DISPENSERS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <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 <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: <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. Nimm--o- 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 /> PETROTITE CERT1f, T ASS FAIL / INCONCLUSIVE —, Cu f O <br /> CCA0202112304R <br /> OTTL Lic#04-1676 c:c-T PASS / FAIL / INCONCLUSIVEVOOC� <br /> Trainee: __ <br /> G i PASS / AIL / INCONCLUSIVE f� ; <br /> PASS / FAIL / INCONCLUSIVE <br /> EQUIPMENT:PETRO TITE LINE TESTER <br />