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Work Order: 2248462 <br />Tanknology Inc. 8900 Shoal Creek, Building 200 Austin, Texas 78757 <br />AFFCiRDA-TE$T <br />1 # Galt CA LINE DETECTOR <br />EST <br />(209) 744-0112 FAX (209) 744-0116 RERT <br />CONTRACTORIENGINEER <br />b,-" Lpe'l TEST DATE 1Igo- <br />SITE NAME i , <br />—4*7 f 4 9 �(�-. PHONE <br />ADDRESS <br />MAIN '37 . <br />A afEA <br />- R 533 b <br />Repair/Constru don <br />LOCATION SKETCH ShowNortt <br />X Compliance <br />Insurance <br />Escruw <br />Make & Type of Pump or Dispenser <br />FF E -mc. Ag1ta <br />r <br />Cover Over Lines <br />Approx Burial Depth <br />-,5 f <br />4 <br />Weather <br />p� <br />Q resaure Suction <br />SHOW STREETS, BLDGS, TANKS, ISLANDS, PIPING IIF KNOWN), PUMPS OR 01SPENSERS <br />LEAK DETECTOR <br />FTA LEAK DETECTOR TEST INFORMATION Caltrate <br />t0 PSI <br />Openln9 1 Element <br />LD Serial Tlme In Test Leak Holding Pass 1 <br />KEY TYPES No/Product Key Number Resiliency Seconds Rote MLIMIn PSI Metering PSI Fail <br />A LD 200D <br />c, <br />B LID 200D E <br />C FXI V <br />3 <br />D FX1 Dv <br />E STPMLD <br />F STPMLD - D <br />G STPMLD - E <br />H ,9TPML0 - DIE Notes: <br />CONTRACTOR <br />LINE TEST RESULTS <br />CERTIFICATION <br />Tests were made on the line systems as noted In accordance with test procedures <br />Te e A. Nim=mo <br />prescribed for as deraled on tha test chart on Sidra ; of this form with results as follows; <br />INE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br />820211 CER T# <br />C CA0202112304R <br />PAS AIL 1 INCONCLL.ISFVE <br />OTTL Lic#04-1676 <br />AIL 1 INCONCLUSIVE <br />Trainee: <br />4 PASS AIL 1 INCONCLUSIVE <br />EQUIFMEFlT: P�7Rp ilTEitt1E TESTER <br />PASS I FAIL 1 INCONCLUSIVE <br />Tanknology Inc. 8900 Shoal Creek, Building 200 Austin, Texas 78757 <br />