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RECE�Y <br /> ED <br /> 6 2013b <br /> Reliable Petroleum Services, Inc, ,,%j0AEN'T HEALTH <br /> 521 Branding Iron St. pEpMIT/SERVICES <br /> Oakdale CA 95361 <br /> Phone &fax(209) 845-8586 <br /> Contractors Lic-:ff 883706 <br /> Date: - -/6- 09 Testing or Service Co. fze 1te-1 tc- <br /> Facility Name: <br /> Site address w 0" S Site4 <br /> County 'S <br /> vf-A-T <br /> Completed by: (34r iTT f <br /> Cert# <br /> Testing Co <br /> 2- <br /> Signature: <br /> Kind of Tester used: <br /> V <br /> Type of TVILLD Tested:—J���� <br /> MLLD Serial Number: 9 <br /> Type of Product: S <br /> Length of Pipe: <br /> Kind of Pipe: r,'-6e <br /> Leak rate tested at: 3gallons per hour 10 psi. <br /> Opening time (seconds): <br /> Pump pressure: psi._ <br /> Static line pressure: psi. <br /> Bleed back: go milliliters. <br /> Restricted Flow Rate: Yes—x No <br /> W.LD MRM <br />