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09D <br /> fforda-Tet 416 2°'street Phone: (209)744-0112 LINE & LEAK DETECTOR <br /> Galt,Ca 95632 Fax: (209)744-0116 TEST REPORT <br /> afforda@softcom.net <br /> CONTRACTOR/ENGINEER <br /> SITE NAME: LOVE'S FUEL CENTER TEST DATE 08-04-2020 <br /> SITE ADDRESS 1553 COLONY RD PHONE (209) 599 -0740 <br /> CITY RIPON CA 95366 <br /> Repair/Construction LOCATION SKETCH snow Nortn <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 /> ® I Pressure I Suction I 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 I STPMLD—D/E Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION <br /> Technician: FELIX Tests were made on the line systems as noted in accordance with test procedures <br /> RAMIREZ prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> PETROTITE CERT.#: CCA:020303281 IC 87 OCT ®PASS ❑FAIL ❑INCONCLUSIVE .0005 <br /> OTTL License#:08-1740 ❑PASS ❑FAIL ❑INCONCLUSIVE <br /> Trainee: 91 OCT ®PASS ❑FAIL ❑INCONCLUSIVE .0005 <br /> ED STRENS [—]PASS ❑FAIL ❑INCONCLUSIVE <br /> EQUIPMENT: PETRO TITE LINE TESTER DIE XPASS ❑FAIL ❑INCONCLUSIVE .0010 <br />