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416 2nd Street LEAK DETECTOR <br /> Afforda Te'�$' Galt,California 95632 <br /> ,.i i 209 744-0112. 800 524-9087 FAX 209 744-0116 <br /> TEST REPORT <br /> Owner/Contractor/En : TEST DATE: '�/�'' � ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME: Ai <br /> 1!57V <br /> Lyle D. Nimtno present Not Present <br /> Phone: ® TECH SIGNATURE: A A ~ <br /> INSPECTOR NAME: <br /> O erator Name: - OTTL # 97-114 ICC#5249115-UT <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B 99LD2000 D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J" Other <br /> FTA LEAK DETECTOR TEST INFORMATION CalibOrasidto <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> Pass/Fail <br /> fromabove insecouds Ml erMmute Holdin PSI <br /> P F <br /> P/F <br /> P / <br /> W3 / P F <br /> P/F <br /> -30 - P F <br /> P/F <br /> Die, 3 P F <br /> P/F <br /> P/F <br /> P/F <br /> P/F I <br /> P/F <br /> I <br />