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q Vo 416 2nd Street Galt CA 95C LINE & LEAK DETECTOR <br /> AF�®�®A'�� (209) 744-0112 (209) 744-011.6 FAX TEST REPORT <br /> CONTRACTOR/ENGINEER U TEST DATE <br /> E l t -' �J ,( �l <br /> SITE NAME <br /> PH-ONE ( ) <br /> ADDRESS 3C� r 2 .1 2007 <br /> L: <br /> l i b d P l ,YIEi g NE;;`T <br /> Compliance LOCATION SKETCH Show North <br /> Repe+f/Construction <br /> Insurance <br /> Escrow <br /> Make &Type of Pump or Dispenser <br /> a P <br /> Cover Over Lines <br /> J ✓ ,� r� <br /> Approx Burial Depth <br /> Weather <br /> o-.V� I <br /> �rSHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> Pressure Suction <br /> Calibrated to 3gph @ 10 psi FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 70 PSI <br /> Opening Leak Functional <br /> LEAK DETECTOR KEY Disp#/ LD Time Rate Element Metering <br /> Product Key Serial Number Resiliency In Seconds MUMin Holding PSI PSI Pass/Fail <br /> A LD 2000 p / F <br /> B LD 2000 E <br /> P / F <br /> C FXI V <br /> P 1 F <br /> D FXI DV P / F <br /> E STPMLD p / F <br /> F STPMLD- D P / F <br /> G STPMLD- E P / F <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:Lyle D. Nimmo prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> ( I!f)0 <br /> `�+!� LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> PET14JTITE CERT# PAS / FAIL / INCONCLUSIVE .� <br /> 090993AO163 <br /> OTTL Lic#97-1143 PASS / FAIL / INCONCLUSIVE <br /> Trainee: \/ r -' PASS / FAIL / INCONCLUSIVE <br /> PASS / FAIL / INCONCLUSIVE <br /> EQUIPMENT:PETRO TITE LINE TESTER <br />