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®� �° 416 2nd Street Galt CA 956"' LINE LEAK DETECTOR <br /> f e (209) 744-0112 (209) 744-0116 TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATESITE NAME <br /> PHONE ( ) <br /> ADDRESS u S • (,C1 r �C} G 7 <br /> <br /> <br /> <br /> ruction <br /> Insurance <br /> Escrow . <br /> 1J U <br /> Make &Type of Pump or Dispenser O_ _ <br /> l� �1 Gs j , i s d _.... <br /> S <br /> Cover Cher Lines ( , <br /> Approx Burial Depth <br /> r,'` Few <br /> Weather <br /> , V Pressure Suction SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS H— '_)- I T <br /> Calibrated to 3 gph @ 10 psi FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 10 PSI <br /> LEAK DETECTOR KEY Disp#/ LD Opening Leak FunctionalTime Rate Element Metering <br /> Product Key Serial Number Resiliency In Seconds ML/Min Holding PSI PSI Pass/Fail <br /> A LD 2000 <br /> P / F <br /> B LD 2000E <br /> C FXI V <br /> P / F <br /> D FXI DV P / F <br /> E STPMLD <br /> 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 /> (fes <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> �i <br /> PETROTITE CERT# PASS / FML / INCONCLUSIVE q <br /> 090993AO163 <br /> OTTL Lic#97-1143 PASS / FAIL / INCONCLUSIVE <br /> Trainee: ,� _ PASS / FAIL / INCONCLUSIVE <br /> PASS / FAIL / INCONCLUSIVE <br /> EQUIPMENT:PETRO TITE LINE TESTER <br />