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Afforda-Te t <br />416 2nd Street <br />Galt, California 95632 <br />209 744-0112 800 4-908 FAX 209 744-0116 <br />LEAK DETECTOR <br />TEST REPORT <br />Owner/Contractor/Eng: <br />TEST DATE: ,/ , <br />ENVIRONMENTAL HEALTH AGENCY: <br />SITE NAME: L4 G ;T %,-7 jleeAl <br />TECHNICIANZane A. Nimmo <br />Site AddresseC /l ��/" C LV� <br />FX] present Not Present <br />INSPECTOR NAME: <br />4 <br />TECH SIGNATURE: <br />Phone: <br />Operator Name: _ <br />OTTL # 04--lf76 ICC # 5263322 -UT <br />LEAK DETECTOR KEY <br />A <br />LD2000 <br />C <br />FE Petro STP -MLD <br />G <br />Red Jacket FXIV <br />B <br />99LD2000 <br />D <br />FE Petro STP -MLD -E <br />H <br />Red Jacket FXIVD <br />E <br />FE Petro STP -MLD -D <br />F <br />FE Petro STP -MLD -DE <br />J <br />Other <br />FTA LEAK <br />DETECTOR TEST INFORMATION <br />Calibratedto <br />lopsi <br />Dispenser <br />Number <br />Product <br />LD Key <br />fromabove) <br />Serial # <br />Resiliency <br />Opening <br />Time <br />(inseconds) <br />Test Leak Rate <br />ML ver Minute <br />Functional <br />Element <br />Holding PSI <br />Metering PSI <br />Pass/Fail <br />'P/,F <br />F <br />e <br />V <br />c <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />