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Afforda-wTest <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 />Owner/Contractor/Eng: <br />TEST DATE: _S 2cc <br />ENVIRONMENTAL HEALTH AGENCY: <br />SITE NAME: <br />A. Winkler <br />Site Address- ' }Dactrid <br />Present Not Present <br />}�— <br />INSPECTOR NAME: <br />TECH SIGNATURE: —> <br />Phone: ? <br />O erator Name: <br />OTTL # 08-1739 YCQi 5 73 -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 />LD200 <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 DETECTOR TEST INFORMATION Ealibratedto <br />10 psi <br />Dispenser <br />Number <br />Product <br />LD Key <br />from above <br />Serial # <br />Resiliency <br />Opening <br />Time <br />inseconds <br />Test Leak Rate <br />MI per Minute <br />Functional <br />Element <br />HoldingPSI <br />Metering PSI <br />Pass/Fail <br />,• Z' <br />P F <br />P/F <br />CP OF <br />P/F <br />P'/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P <br />