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A&ft"416 2nd Street Phone: (209) 744-0112 Galt, Ca 95632 Fax: (209) 744-0116 LONE $ LEAK DETECTOR TEST REPORT CONTRACTOR/ENGINEER FUEL PROS TEST DATE 4/14/2017 SITE: MOBIL FOOD MART 401 KETTLEMAN LN LODI , CA 95240 ® Repair/Construction LOCATION SKETCH Show North ® Compliance M Owners Request SHOW STREETS, BLDGS, TANKS, ISLANDS, PIPING (IF KNOWN), PUMPS OR DISPENSERS REC J U �� ? 017 ENVI RONtkI mNTA. EAL T Insurance ❑ Escrow ® Other POST CONSTRUCTION Make & Type of Pump or Dispenser` F. E. PETRO Cover Over Lines CONCRETE Approx Burial Depth 3 - 5 FEET WeatherDE7--"APTMENT SUNNY, BREEZY, COOL Pressure ® Suction 111 LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate 10 PSI KEY TYPES Opening Test Leak I Element No/ LD Serial Resiliency Time In Rate Holding Metering Product Key Number Seconds MUMin. PSI PSI Pass/ Fail A LD 2000 B LD 2000 E 87-A E 700 3 189/1 21 12 PASS C FXI V D FXI DV 87 - B E 700 3 189/1 21 12 PASS E STPMLD F STPMLD — D 91 E 150 3 189/1 21 12 PASS G STPMLD — E H STPMLD—D/E Notes:L D TESTING BY FUEL PROS - REPORT BY ZANE N. WITNESSED TESTING CONTRACTOR CERTIFICATION LINE TEST RESULTS Technician: Zane A.Nimmo Tests were made on the line systems as noted in accordance with test procedures prescribed for as detailed on the test chart on Side 2 of this form with results as follows: d W LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR OTTL License #: 04-1676 PETROTITE CERT. #:CCA0202112304R ICC# 5263322 UT ❑PASS ❑FAIL ❑INCONCLUSIVE 87 OCTANE ®PASS ❑FAIL ❑INCONCLUSIVE -.0010 Trainee:JOSE PRADO ❑PASS ❑FAIL ❑ INCONCLUSIVE 91 OCTANE ®PASS ❑FAIL [:]INCONCLUSIVE -,0010 EQUIPMENT: PETRO TITE LINE TESTER ❑PASS ❑FAIL ❑ INCONCLUSIVE Notes: