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416 2nd Street LEAK DETECTOR <br /> Afforda-'e ' t Galt,California 95632 <br /> 209 744-0112 800 524-9087 FAX 209 744-0116 TEST REPORT <br /> Owner/Contractor/Eng: - TEST DATE: 1' ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME: <br /> Site AddreSsi �� O z • .^ inkier° <br /> Present Not Present <br /> s C, <br /> Phone: TECH SIGNATURE: INSPECTOR NAME: <br /> O erator Name: ! OTTL # 08-1739 ICC#5263373-UT <br /> LEAKE E <br /> T CT <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B L 2000/E D FE Petro STP-MLD-E H Red Jacket FX1VD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION Calibrated to <br /> lopsi <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> fromabove in seconds Ml erMinute Holdin PSI Pass/Fail <br /> P/F <br /> P/F <br /> P/F "I <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />