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rAFFORDA-TE$T 416 2nd Street Galt CA 95632 LINE & LEAK DETECTOR <br /> (209) 744-0112 FAX (209) 744-0116 TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE 2 _ _o <br /> SITE NAME (Lw PHONE ( ) <br /> ADDRESS urj Lo �Fe(� <br /> e �CJ�30 <br /> Repair/Construction LOCATION SKEJEY LiShow North <br /> Compliance <br /> Insurance <br /> Escrow <br /> Make &Type of Pump or Dispenser <br /> Cover Over Lines <br /> Approx Burial Depth O-T `T C) <br /> 91 <br /> Weather <br /> O L-D <br /> Press re Suction SHOW STREETS, BLDGS,TANKS, ISLANDS PIPING (F KNOW ), PUmpl OR DISPENSERS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 10 PSI <br /> Opening I Element <br /> LD Serial Time In Test Leak Holding Pass / <br /> KEY TYPES No/Product Key Number Resiliency Seconds Rate ML/Min PSI Metering 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 Tests were made on the line systems as noted in accordance with test procedures <br /> Technician:Zane A. Nimmo 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 /> Pt 1 CERT# <br /> C CA020210202112304R &7 {PAS FAIL / INCONCLUSIVE o <br /> OTTL Lic#04-1676 Oce 1sA��. AIL / INCONCLUSIVE <br /> Trainee: Inc--FP SAS / AIL / INCONCLUSIVE -- , oo 4p <br /> PASS / FAIL / INCONCLUSIVE <br /> EQUIPMENT:PETRO TITE LINE TESTER <br />