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fforda Tet 416 2°' Street Phone : (209) 744-0112 LINE & LEAK DETECTOR <br /> Galt, Ca 95632 Fax : (209) 744- 0116 <br /> TEST REPORT <br /> affords@softcom .net <br /> CONTRACTOR/ENGINEER C D R TEST DATE 4/8/2019 <br /> SITE : RIPON MOBIL GAS <br /> 336 E . MAIN STREET RIPON CA 95366 <br /> ® Repair/Construction LOCATION SKETCH Show North <br /> ® Compliance ® Owners Request <br /> ® Insurance ❑ Escrow SHOW STREETS , BLDGS , TANKS , ISLANDS , PIPING (IF KNOWN ), PUMPS OR DISPENSERS <br /> ❑ I Other IN LUE OF Shutdown <br /> Make & Type of Pump or Dispenser <br /> F . E . PETRO <br /> Cover Over Lines <br /> CONCRETE , A S T SYSTEM <br /> Approx Burial Depth <br /> 2 - 5 FEET <br /> Weather <br /> SUNNY , MILD <br /> Pressure ® Suction ❑ <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br /> Opening Test Leak I Element <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Metering Pass/ <br /> Product Key Number Seconds MUMin , PSI PSI Fail <br /> A LD 2000 <br /> B LD 2000 E rn <br /> C FXI V <br /> D FXI DV <br /> Li <br /> E STPMLD <br /> F STPMLD — D <br /> G STPMLD — E EN 1RONM - NTAL HEN T18 <br /> H STPMLD—D/ E Notes : DEPART AENT <br /> CONTRACTOR <br /> CERTIFICATION LINE TEST RESULTS <br /> Technician : Tests were made on the line systems as noted in accordance with test procedures <br /> Zane A.Nimmo prescribed for as detailed on the test chart on Side 2 of this form with results as follows : <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER <br /> HOUR <br /> OTTL License # : 044676 <br /> PETROTITE CERT. ❑ PASS [] FAIL ❑ INCONCLUSIVE <br /> # : CCA0202112304R 87 OCTANE . 0000 <br /> ICC# 8883064-UT ® PASS ❑ FAIL E] INCONCLUSIVE <br /> Trainee : 91 OCTANE ® PASS ❑ FAIL ❑ INCONCLUSIVE . 0000 <br /> DIESEL #2 ® PASS ❑ FAIL ❑ INCONCLUSIVE . 0000 <br /> EQUIPMENT: PETRO TITE LINE ❑ PASS ❑ FAIL ❑ INCONCLUSIVE <br /> TESTER <br /> Notes : <br />