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POB 36 26515 N. Sacramento Blvd. LEAK DETECTOR <br /> Afforda-Te$t Thornton, California 95686 <br /> 209 794-0102 800 524-9087 FAX 209 794-0112 TEST REPORT <br /> Owner/Contractor/Eng: TEST DATE: (Q (� d ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME: C , "Mcpo-r &ACoc I aSite <br /> r • Z ( 0j fr7 Zane A. Mmmo 7 Present Not Present <br /> Citv. '45742C <br /> Phone: TECH SIGNATURE: _ INSPECTOR NAME: Lr_� <br /> O erator Name: f C, TTL# 04-1676 <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B 99LD2000 D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION a, rate to <br /> ]0 psi <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> from above in seconds MI per Minute Holding PSI Pass/Fail <br /> Die F 89 3 av Pl <br /> P/F <br /> �3 7 C— .37P v <br /> 77 <br /> P/F <br /> P <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />