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. _ .. ..... . <br /> POB 36 26515 N. SACTO. BL, j;, E& LEAK DETECTOR <br /> THORNTON, CA. 95686. 4 <br /> ' <br /> 209 794-0102 800 TEST REPORT 524-9087 / <br /> CONTRACTOR/ENGINEERV�di �P 1�-` -`t yf <br /> TEST DATE / 5/05 <br /> ORDERING TEST Jcc S C� <br /> SITE: <br /> OPERATOR PSM�)�A Station# OWNER <br /> SITE RE5 q{5j ADDRESS <br /> 'vtZDC+'----vNJ <br /> PHONE �� ! j C� �,a PHONE ' <br /> .... ..�.. ....' ... .......,'..r-.., ..._ .. ...........n...r..�............_.... .....IW„.....-. .n .4ua�.:;.a� _. w.. .r.niFnti.'...rS.no-M.aNt.Ge.Mf!M.vqrrnvrar..=4n••-N:F ............. <br /> REASON FOR TEST LOCATION SKETCH <br /> LINE(s)ONLY ANK(s)-LINE(s <br /> LINRS)-LEAK DET. <br /> TANK(s)-LINE(s)-LEAK DET. <br /> AIAM do TYPE OF PUMP <br /> OR DISPENSER <br /> COVER OVER <br /> LINES C}n C,r Q1k <br /> APPROX B <br /> DEPTH <br /> �� <br /> WEATHER N IJ <br /> PRESSURE J- aSIICTION Lj SHOW STREETS,HLDQS,TANKS,ISLANDS:PIPING(IF KNOWNX PUMPS OR DISPENSERS <br /> FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> LEAK DETECTOR 10 PSI <br /> No. LD Serial Opening Test uncdona elering Yes/ <br /> E Icer Number Resiliency Time Leak Rate Element PSI No <br /> y TYPES: Produd In Seconds Min Holdin PSI <br /> XLD P/N 116036-5 <br /> BFLD6 <br /> C PLD P/N 116030-5 <br /> XLP P/N 116035-5 <br /> DLD P/N116017-5 <br /> BFLD P/N 116012-5 <br /> OTHER <br /> Notes <br /> CONTRACTOR. LINE TEST RESULTS <br /> CERTIFICATION TESTS KE'REMADE ON 711ELINE SYSTFMSAS NOTED INACCORDANCE WITH TEST <br /> PROCEDURESPRESCRIBED FOR AS DETAILED ON THE TEST CHART ON SIDE 2 <br /> TECHNICI LYLE.I) EVIMO OF7711S poRM ii7Tl1 RESULTSASFULLONS. <br /> SIGNATUR$ .. 1 <br /> b- tA - <br /> LINE IDENTIFICATION NET VOLUME CFIANGE PER HOUR <br /> PETR(jWftE CERT.#090993AO163 v ASS / FAIL / INCONCLUSIVE -�-Do <br /> OfTL LIC it Trainee N,,,,, , 2�n �. PAS / FAIL / INCONCLUSIVE <br /> nainceSign.cure �”-----� PASS / FAIL / INCONCLUSIVE <br /> FEATI.JR1Nd•PETR -TPTE <br /> LINE TESTER PASS,./...FAIL / INCONCLUSIVE <br />