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POB 36 26515 N. SACTO. BL. <br />ffarbra T THORNTON, CA. 95686 <br />1 0 <br />LI4f,, &LEAK DETECTOR <br />jN <br />LINES) ONLY <br />TEST REPORT <br />209 794-0102 800 <br />524-9087 <br />LMAs}-LEAK DET. <br />CONTRACTOR/ENGINEER <br />TEST <br />ORDERING TEST <br />�'�!- t, , <br />SITE: <br />APR 15 Z003, 5 Z003 <br />�-) <br />OPERATOR't�? r `l Station# <br />OWNER <br />SITE ADDRESS <br />1 f't"Upr <br />ADDRESS PEF{� "'k'�, SE-RVICES 2 <br />LEAK DETECTOR <br />FTA LEAK DETECTOR TEST INFORMATIO N Calibrate10 PSI <br />PHONE `( �oaj� g''�� - ©� <br />TYPES: <br />PHONE <br />REASON FOR TEST <br />LOCATION SKETCH °" <br />y- -- - <br />i <br />i <br />SHOW STREETS, BLDC,S. TANKS,ISLANDS: PIPING 0F KNOWN PUMPS OR DISPENSERS / <br />LINES) ONLY <br />TANK(S�LINE(s <br />LMAs}-LEAK DET. <br />TANK(s)-LINE(s)-LEAK DET. <br />MARE & ME OF PUMV7 <br />OR DISPENSER <br />COVER OVER <br />LINES �-o <br />APPROX BURIAL ! r <br />DEPTH i <br />WEATHER <br />PRESSURE <br />M <br />SUCTIONF. <br />LEAK DETECTOR <br />FTA LEAK DETECTOR TEST INFORMATIO N Calibrate10 PSI <br />E <br />y <br />TYPES: <br />No. <br />LD <br />Serial <br />Number <br />Resiliency <br />Opening <br />Time <br />In Seconds <br />Test <br />Leak Rate <br />ML✓Min <br />Funcdonal <br />Element <br />Holdin PSI <br />PSI <br />Yes / <br />No <br />Product KEY <br />XLD P/N 116036-5BFLD <br />'� r <br />(XL MODE <br />PIN 116039-5 <br />PLD P/N 116030-5 <br />XLP P/N 116035-5 <br />E.DLD <br />P/N116017-5 <br />BFLD PIN 116012-5 <br />oTWR <br />Notes <br />CONTRACTOR <br />CERTIFICATION <br />LINE TEST RESULTS <br />TESTS KEREMADE ON 77IELINE SYSTEMSASNOTED INACCORDANCE NVH TEST <br />PROCEED URESPRESCRIBED FOR AS DETAILED ON TUE TEST CHART ON SIDE 1 <br />OF771ISFORMff=RESULTSASFVLL0". <br />TECHNICI MI) NIMMO <br />SIGNATURE' �_) <br />LINE IDENTIFICATION NET VOL UME C GE PER HOUR <br />PETROPTE CERT. # 090993AO163 <br />UfTL LIC !t 9'1-1143 <br />Ti6teeNam <br />p },{ <br />PASS~ / FAII, / INCONCLUSIVE <br />G <br />PASS � FAIL / INCONCLUSIVE <br />f - .DCC:�6' <br />T""'°�S'�""°° <br />FEATURING PETR -TITE <br />LINE TESTER <br />U v <br />PASS /FAIL / INCONCLUSIVE <br />PASS.. / . _FAIL / INCONCLUSIVE <br />4- , 225,: <br />