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AFF OA-TEST 209 794 0112 P. 04 <br /> POB 36 26515 N. SACTO. BL. LINE & LEAKDETECTOR <br /> fx � e # THORNTON, CA. 95686 TEST REPORT <br /> 209 794-0102 800 524-9087 <br /> CONTR.ACTOR/ENCINEER �t-Z k-j TEST DATE �'�' Zoo2- <br /> ORDERING TEST <br /> SITE: �1T�' 01= C'uD/ <br /> OPERATOR 1`^A2 K St21101111 coRp <br /> S'AR-D OWNER <br /> SITIADDRESS x"33( WA-,t, (_,4-Il-- ADDRESS <br /> LSI I CA <br /> PHONE ( ,p�j) 3 3 3 - (o$oc ) PHONE <br /> REASON FOR TEST LOCATION SKETCH <br /> LINF,43)ONLY FANK(s)-LtNr4s <br /> LINFAsyLF.AK DEI, <br /> TANK18rL1NF43)-LEAK DE-1. LA <br /> MAKS&TYPP OF Pimm <br /> OR MamssER w ` <br /> A - �t7 <br /> CO�6A ovEa ,n --y <br /> nPPROX 011RLIL <br /> ULM L <br /> Sia P <br /> PRESSURE SUCTION $110W Snk.EnS BLWS TANK ISLANDS!HMO OfONOWN "PS ORDISPENSERS <br /> FTA LEAK DETECTOR TEST INFORMATION C411Dr11te <br /> LEAK DETECTOR 10 PSI[ <br /> Serial Upm n Tat an ona dering Ya/ <br /> Y PNohodwA ftm6er Resfflen1-7 Time Leak Rafe Eltmenf 1°151 No <br /> In smonei Holdln PSI <br /> XLD P/N 116036-5 <br /> BFLD(XL MODEL) <br /> PIN 116039-5 <br /> PLD P/N 116030-5 <br /> XL.P P/N 116033-5 <br /> DLD P/N 116017-5 <br /> BFLD P/N 116012-5 <br /> onaa <br /> Nota <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION TESTSIIF:RFMAD' ON771EUNESYSTEMSASNOTED INACCORDANCF.WTTHTEST <br /> m' CW URFS PR.ESCRIDED FOR AS DETAILED ON THE TEST CWT ON SIDE 2 <br /> TECIU�ICIAN , II1llM0 ofillrS�RMIV1TIrR!SUL15ASPt7LlAI►5: <br /> °p'"TL4' �r LINE IDENTIFICATION NET VOL UMB C GE PER HOU <br /> FSTRUMN URVO 090993A0163 PASS FAIL / INCONCLUSIVE <br /> TTL JAC N 91 1143 <br /> rmi..I+.m. I PASS / FA1L / INCONCLUSIVE _ <br /> r .1 PASS / FAIL / INCONCLUSIVE <br /> FP.AIURINU PEl R 1.171E <br /> UNE TESTER PASS / FAIL / INCONCLUSIVE <br />