Laserfiche WebLink
fforda-Te <br />416 2nd Street <br />Galt, California 95632 <br />209 744-0112 800 524-9087 FAX 209 744-0116 <br />LEAK DETECTOR <br />TEST REPORT <br />Oi� ner/Contractor/Eng: <br />TEST DATE: v 11 r.q I <br />ENVIRONMENTAL HEALTH AGENCY: <br />SITE NAME: FI G. C. %2i-1t'C)rJ <br />J <br />A. Nimmo <br />5,4 UIAJ <br />Site Addressa(AZI la <br />0 Present Not Present <br />INSPECTORNAME: �GgGL <br />i i c 5 <br />TECH SIGNATURE. - <br />Phone: 33 - O <br />Operator Name: <br />OTTL # 04-1676 ICC # 5263322 -UT <br />9 <br />LEAK DETECTOR KEY <br />A <br />LD2000 <br />C <br />FE Petro STP -MLD <br />I G <br />Red Jacket FXIV <br />B <br />LD2000/E <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 />10 si <br />Dispenser <br />Number <br />Product <br />LD Key <br />from above <br />Serial # <br />Resiliency <br />Opening <br />Time <br />in seconds <br />Test Leak Rate <br />perMinute <br />Functional <br />Element <br />Holding PSI <br />Metering PSI <br />Pass/Fail <br />}M'-� <br />PF <br />P/F <br />P/F <br />U`7 •,, <br />C <br />�,� Erc�tr�rd <br />Z i' <br />Z- <br />a <br />P F <br />j� [ <br />�- p <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />