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POB 36 26515 N. SACTO; BL. ,-JN ` LEAK-bETECTOR <br />-Teof THORNTON, CA. 95686. <br />� f flaripra(209) 794-0107 (Rnm Sqa-QnR7 TEST REPORT' <br />CONTRACTOR/ENGINEER <br />- - - - ' TEST DATE 31-2- /0,/, <br />ORDERING TEST <br />SITE: <br />I <br />OPERATOR V1 I1 -Wng E �� t`iIV� Sfnfiou# • OWNER <br />SITE. ADDRESS <br />1r'm5'a c..a-QDe !Z 0 ADDRESS ` <br />I <br />kc <br />PHONE � `7� 9v�1. /S�/ . PHONE l <br />RE SON FOR TEST <br />LOCATION.SKETCH. <br />IDA NDIl71 <br />II <br />LIISE(s) ONLY n4Ecs <br />LuIrEl 9} -LEAK DET. <br />TANK(s)-I.M&E -LEAX DET. <br />MAKE &'TYPE OFPUMP <br />OIIDIAPENSLR ' { <br />COVER OVER <br />Lms coo`Ilt <br />t <br />APPROX BURIAL 1 <br />� <br />DEPTH <br />• <br />WLA-n= I CMC <br />QX -1 sumum <br />OW ST7 6m <br />FTA LEAK DETECTOR TEST INFORMATION Calibrate <br />L�4lt DE.T1'�CTOR <br />SI <br />10 PSI <br />Na <br />LD Serial Opeairr Test undtmra ding Yes/ <br />E <br />Number Resiliency ' rime Leak Rate £7ernent PSI Nn . <br />y TYPES Produd <br />uzr <br />In Secoada AII./JII'w Haldin PSI <br />XLD PIN 116(136-5 <br />MODELBFILD (YL <br />PfN 116039-5 <br />PLD P/ri 11GSi3G-5 <br />XLP PIN 116035-5 <br />DLD PIN116917-5 <br />.SFLD P/N 116012-5 <br />OTHER <br />Notes <br />CONTRACTOR. <br />LINE TEST RESULTS <br />CERT jCATION <br />TL•5TEifZREEMDEONTHELINESYSTFMSASN0TED.DVACC0RDANCEIf�77�TEST <br />PROCEDURE SPRESCRIBEDFOR ASDETAILED ONTHE TEST CHARTONSIDE2 <br />�FZMC141�I: 0 <br />OF 771'IS F7RM I fTI7I RESULTS AS FOLLO ff S.- <br />annnus �wr <br />LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br />7-TROT4TA CERT. #C�aAcacac5l3a�c <br />�: ,L ASS FAQ. ! INCONCLUSIVE ? OC> <br />OfTL LIC t# C95f -I L- rJl� <br />mia,„o <br />PASS / FAIL / INCONCLUSIVE <br />PASS / FAIL / INCONCLUSIVE <br />L•r-A'I UI 1NOTETRO-TITS <br />LINE TESTER _ <br />PASS -• / ---FAIL / INCONCLUSIVE . <br />e <br />