Laserfiche WebLink
Apr 2 .,09 03:53p 209-367-5424 p.1 <br /> _ 3 <br /> .AFFORDA <br /> -T 416 2nd S Galt CA 95632 LINE LEAK DETECTOR <br /> (209) 744-0112 FAX(209)7444116 PEST REPORT <br /> CONTRACTORIENGINEER TEST DATE A i <br /> SITE NAME xr, •Ax,,, tit t.. oYL3'D Jarej PHONE <br /> r <br /> ADDRESS i <br /> Rep&/Con*uction LOCATION SKETCH show Fruth <br /> Compliance <br /> Insurance <br /> Escrow . <br /> Make&Type of Pump or spenser �� �� <br /> Di <br /> G hta _RECE " <br /> t_. ..: <br /> Cover Over Unes <br /> Can -SPR 2 4 2009 <br /> Appmx®inial Depth SAM JOAQURGOUNTY <br /> �NVIRONMENTAL <br /> HF'ALTH DErPari.gMENT <br /> Weather _ - X3, <br /> . <br /> � n <br /> )(lPressurp Muethm. ShtQM1NS[F FrB 810 7 MAWS.PIPING a!: . . .},PUMPS OR SMRS•'._' <br /> LEAK DETECTOR PTA LEAK DETECTOR TEST INF A cammis <br /> a PSI <br /> kg _ t'sles <br /> LO So" ThW In Test Leak Holding Pass 1 <br /> KEY TYPES NWIlroduct Kat Number ottds PSI Metering PSI " : Falt <br /> A LD 2000 <br /> LD 2000 E <br /> C FXi V s <br /> D DO DV <br /> E STP MLD _. <br /> F STPPALD-d <br /> G S -E <br /> H ST D«WE Nixes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICA7'It;iN TWO were m the hero ayaw ss annowd to accomance Vft tast preewurm. <br /> T ae ,thin Ramani preaorked for an the chart an Side 2 of this fours with results as bfic": <br /> E IDt'rNTIFIC MION VOLUME G GE HOUR <br /> - L <br /> PE •ITE CERT# PASS FAIL 1 INCONCLUSIVE <br /> 2C 5x73934-ur <br /> OTTL f1 W1745 PASS d FAIL"! INCONCLUSIVE <br /> Trainee: IPASIU 1 FAIL ! INCONCLUSIVE <br /> PASS f FAIL t INCONCLUSIVE <br />