Laserfiche WebLink
i <br /> A <br /> 416 2nd Street Galt CA 95632 LIME & LEAFS DETECTS R <br /> (209) 744-0112 FAX (209) 744-0116 TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE ,` <br /> SITE NAME ( J ' � � II (� PHONE ( ) <br /> 44. <br /> ADDRESS f I C� C4 7 f�-,I lot,— <br /> y Repair/Construction LOCATION SKETCH Show North <br /> Compliance <br /> Insurance <br /> Escrow <br /> Make&Type of Pump or Dispenser r, <br /> Lj <br /> Cover Over Lines <br /> Cn <br /> Approx Burial Depth <br /> Weather L3 <br /> Pressure-) Suc n SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION crate <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 MUMinPSI 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 fine 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 /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> A <br /> IC _rtITE CERT# 1 y ASS FAIL / INCONCLUSIVE <br /> IC <br /> 5273934-UT <br /> OT' #08-1740 PASS / FAIL / INCONCLUSIVE <br /> Trainee: PASS / FAIL / INCONCLUSIVE <br /> PASS / FAIL / INCONCLUSIVE <br /> EQUIPMENT:PETRO TITE LINE TESTER <br />