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416 2nd Street Galt CA 95632 milE LEAK ETT <br /> 01( ) 744- 112 FAX (209) 744- 16 <br /> TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE n t t <br /> SITE NAME , ) _ ({� PHONE { ) <br /> ADDRESS b <br /> CA <br /> X Repair/Construction LOCATION SKETCH snow North <br /> Compliance <br /> Insurance _ <br /> Escrow <br /> Make&Type of Pump or Dispenser <br /> (So-51� <br /> Cover Over Lines <br /> Approx Burial Depth <br /> Weather _ <br /> F(, <br /> Pr@3surV Su Iot7- SHOW STREETS,BL S,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST IFOR ATIO 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: elix Ramirez prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> NE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> PET 9TITE CERT# PASS FAIL / INCONCLUSIVE.] - <br /> IC 5273934-UT <br /> OTTL#08-1740 PASS / FAIL / INCONCLUSIVE <br /> Trainee: PASS / FAIL / INCONCLUSIVE <br /> PASS / FAIL / INCONCLUSIVE <br /> EQUIPMENT:PETRO TITE LINE TESTER <br />