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AF-FUh1JA- I Itfo 'd?m %tram uaR LA 9`6 Lffft & LEAK DETECTOR <br /> (209) 744-0112 (209) 744-011A FAX TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE — 4 <br /> SITE NAME V e I FLt&I . CC�ev te� v— PHONE ( =aq ) <br /> ADDRESS C 0 l0 n �' <br /> Compliance LL LOCATION SKETCH Show North <br /> Repair/Construction <br /> Insurance <br /> Escrow <br /> Make&Type of Pump or Dispenser <br /> e <br /> Cover Over Lines <br /> Approx Burial Depth <br /> Weather <br /> Pressure Suction SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> :alibrated to s gph @ 10 psi FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> eSE 10 PSI <br /> LEAK DETECTOR KEY Disp#/ LD Opening Leak Functional <br /> Time Rate Element Metering <br /> Product Key Serial Number Resiliency In Second. ML/MIn Holding PSI PSI Pass/Fail <br /> LD 2000 E E 3 ZS P / F <br /> 3 LD 2000 E R Y�r 3��J y 189 2� 13 q p / F <br /> FXI V IE <br /> P / F <br /> FXI DV -D17E r P / <br /> STPMLD <br /> P / F <br /> STPMLD - D <br /> P / F <br /> STPMLD- E <br /> P / F <br /> 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 /> :chnician:Lyle D.Nlmmo prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> E TITE CERT#_ �,( J� PASS / <br /> 30993A0163 FAIL / INCONCLUSIVE <br /> TTL Lic# su ASS / FAIL / INCONCLUSIVE a <br /> �1 R � O3i� <br /> rainee: r�,r r PASS / FAIL / INCONCLUSIVE �0000 <br /> PASS / FAIL / INCONCLUSIVE <br /> UIPMENT,PETRO TITE LINE TESTER <br />