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POB 36 26515 N. SACTO. BL. �L'& LEAKDETECTOR <br /> ,.r THORNTON, CA. 95686. TEST O 7' <br /> 209 794-0102 800 524-9087 <br /> CONTRACTOR/ENGINEER "6-f ,oaf TEST DATE of— l <br /> ORDERING TEST <br /> SITE: <br /> OPERATOR o , Station# OWNER <br /> SITE ADDRESS P ADDRESS <br /> PHONE ( ) - PHONE <br /> REASON FOR TEST' LOCATION SKETCI owNoan <br /> LINRS)ONLY ANK(s)-LINE(s <br /> LWE(s)-LEAK DET. 0r+1�1 <br /> TANK(s)-LINE(s)-LEAK DET. - <br /> MAKE&TYPE OF PUMP <br /> ORDISPENSER fL <br /> COVER OVER <br /> LIIJES <br /> APPROX BURIAL <br /> DEPTH <br /> WEATHER ' <br /> PRESSURE 2] SUCTION Lj I SHOW SIRLEIs•BLDdS.TANKS.ISLANDS;PIPING(IF KNOWN1 PUMPS OR DISPENSM <br /> LEAKDETECTOR FTA LEAK DETECTORTEST INFORMATION Calibrate <br /> 10 PSI <br /> No. LD Serial 0pen,n Test undeona staring Yes l <br /> ETEES /Mur <br /> K" Number Resillency 7"sme Leak Rate Element PSI No <br /> In Seconds MLRoldan PSI <br /> XLD PIN 116036-5 <br /> BFLD(XL <br /> PM 116032-5 0'x®9 -2 .� <br /> PLD PIN 116030-5 1819 _q ';�>2- <br /> XLP PIN 116035-5 <br /> DLD P/N116017-5 <br /> BFLD P/N 116012-5 <br /> ops STP• t-C� <br /> °l Notes <br /> CONTRACTOR. LINE TEST RESULTS <br /> CERTIFICATION TESTS UMEMADEON?NELINESYSTEUSASNOTED RVACCORDANCE,WNH TEST <br /> PROCEDURESPRESCRIBED FOR AS DETAILED ONTHE TEST CHART ON SIDE 2 <br /> TECHMCI :L� L�. D N O OFTlilSMRMHTHIP SULTSASMUD[f'S. <br /> sIaNA LINE IDENTIFICATION <br /> � NET VOLUME C,IIANGE PER HOUR <br /> PETROE CERT.#090993AO163 d ("'-PAS&)/ FAIL / INCONCLUSIVE 1.rRlfMTL LIC N 91-1 43 <br /> TrainmNoxne It c ' PA S / FAIL / INCONCLUSIVE <br /> Tri«signehue A . .PASS / FAIL / INCONCLUSIVE <br /> s <br /> FENMING-PETROTITS <br /> L 4E TESTER PASS../..•FAIL / INCONCLUSIVE <br />