Laserfiche WebLink
AFFORDATE$T_ 416 2nd Street Galt CA 9563? LINE & LEAK DETECTOR <br /> 09) 744-0112 (209) 744-0116 F <br /> TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE <br /> SITE NAME PfjQNE (--�z® ) - <br /> ADDRESS �7-7,�)/ 1c1. k <br /> S in 0, 1-7 <br /> Compliance LOCATION SKETCH Show North <br /> Repair/Construction <br /> Insurance <br /> Escrow <br /> Mak�e&Type of Pump or Dispenser <br /> J <br /> Cover Over Lines <br /> 0 cq 4o <br /> Approx Burial Depth <br /> Weather <br /> Pressure Suction SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> Calibrated to 3 gph c@ 10 psi FTA LEAK DETECTOR -PEST INFORMATION Calibrate <br /> 10 PSI <br /> LEAK DETECTOR KEY Disp#/ LD opening Leak Functional <br /> Time Rate Element Metering <br /> Product Key Serial Number Resiliency in Seconds MLJMin Holding PSI PSI Pass/Fall <br /> A LD 2000 <br /> B LD 2000 E <br /> P / F <br /> C FXI V <br /> P / F <br /> D FXI DV <br /> P / F <br /> E STPMLD <br /> P / F <br /> F STPMLD-D <br /> G STPMLD-E P / F <br /> / <br /> H STPMLD-D/E Notes: P F <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION Tests were made on the line systems as noted in accordance with test procedures <br /> Technician:Lyle D.Nimmo 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 /> P ROTITE CERT# 4 � <br /> 090993AO163 f PASS / AIL / INCONCLUSIVE 0 0a <br /> OTTL Lic# <br /> r llJ.II-i3 t, _ PASS /jFAIL / INCONCLUSIVE ;i 0 W- <br /> Trainee: a :s PASS� FAIL / INCONCLUSIVE �f <br /> . s <br /> PASS / FAIL / INCONCLUSIVE <br /> _QUIPMENT:PETRO TITE LINE TESTER <br />