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fforda Te t 416 2°d Street Phone : (209) 744- 0112 LINE & LEAK DETECTOR <br /> Galt, Ca 95632 Fax : (209) 744-0116 <br /> TEST REPORT <br /> afforda@softcom. net <br /> CONTRACTOR/ENGINEER LOVE ' S COUNTRY STORE <br /> SITE NAME : LOVE' S FUEL CENTER TEST DATE 08 -06 - 19 <br /> SITE ADDRESS 1553 COLONY RD PHONE 209) 599 - 0740 <br /> CITY RIPON CA 95366 <br /> Repair/Construction LOCATION SKETCH Show North <br /> ® Compliance ❑ Owners Request <br /> Insurance ❑ Escrow <br /> Other <br /> Make & Type of Pump or Dispenser <br /> PE PETRO <br /> Cover Over Lines <br /> CONCRETE <br /> Approx Burial Depth <br /> 45 ' <br /> Weather <br /> SUNNY <br /> ® Pressure Suction SHOW STREETS , BLDGS , TANKS , ISLANDS , PIPING (IF KNOWN ), PUMPS OR DISPENSERS <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 ML/Min . PSI PSI Fail <br /> A LD 2000 <br /> B LD 2000 E <br /> C FXI V <br /> D FXI DV <br /> E STPMLD <br /> F STPMLD — D <br /> G STPMLD — E <br /> H STPMLD—D/E Notes : <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION <br /> Technician : Tests were made on the line systems as noted in accordance with test procedures <br /> FELIX RAMIREZ prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> ,'f:" -> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> el <br /> PETROTITE CERT. # : CCA: 020303281 IC $ 7 OCT ® PASS ❑FAIL ❑ INCONCLUSIVE . 0000 <br /> OTTL License # : 08- 1740 ❑ PASS ❑ FAIL ❑ INCONCLUSIVE <br /> Trainee : 91 OCT ® PASS ❑ FAIL ❑ INCONCLUSIVE . 000 <br /> DAVID WINKLER ❑ PASS ❑ FAIL ❑ INCONCLUSIVE <br /> EQUIPMENT: PETRO TITE LINE TESTER DIE, ® PASS ❑ FAIL ❑ INCONCLUSIVE . 0000 <br />