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a AIrFORDA-TE$T 416 2nd Street Galt CA 95632 LINE & LEAK DETECTOR <br /> (209) 744-0112 FAX (209) 744-011 b TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE g <br /> SITE NAME to V, G 5 fu'g- axrev— PHONE (,—) 519 '0746 <br /> ADDRESS r <br /> 6 <br /> Repair/Construction LOCATION SKETCH Show North <br /> Compliance b L:::] <br /> Insuranee <br /> Escrow p ED [] <br /> Make&Type of Pump or Dispenser U-3 InD <br /> Cover Over Lines r] C] eo0 <br /> ( pVA( C)T1 <br /> Approx Burial Depthp © Q�Q <br /> J'(-b d�T g-t o <br /> Weather <br /> Pressure Suction SHOW STREETS,BLDGS,TANKS, ISLANDS,PIPING(IF KNOWN),PUMPS OR DISP <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION <br /> Opening Element <br /> LD Serial Time In :Rate:ML/M�ijn <br /> LeaHolding Pass/ <br /> KEY TYPES No/Product Key Number Resiliency Seconds PSI Metering P I Fail <br /> A LD 2000 'p -I:Z DoEs n-r Ec a� orA!L <br /> B LD 2000 <br /> ' I <br /> FXI V T- DET 3 C PFa« <br /> FXI DV <br /> STPMLD /�. 3 !4 <br /> - STPMLD - D �/�� <br /> STPMLD- E B 691�1b ��a/ 3 sa 3 i mss <br /> STPMLD- DIE Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION Tests were made on the line systems as noted in accordance with test procedures <br /> echnician:Zane A. Nimmo prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> LIMB IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> i <br /> ETROTITE CERT# Its PASS / AIL / INCONCLUSIVE <br /> ' <br /> CA0202112304R <br /> TTL Lic#04-1676 g'� PASS';/ FAIL / INCONCLUSIVE <br /> rainee: N�-g ( PASS';/ FAIL / INCONCLUSIVE <br /> PASS / FAIL / INCONCLUSIVE <br /> UIPMENT:PETRO TITE LINE TESTER <br />