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12/11/2008 12:19 FAX 4 SJEH 0 005 <br /> FF -TEST 416 2nd Street Galt CA 95632 LINE & LEAK DETECTOR <br /> (209) 744-0112 FAX (209) 744-0116 TEST REPORT <br /> CONTRACTOR/ENGINEER -( TEST DATE Z - - L� <br /> SITE NAME L0' Ii'00b • -� 02- PHONE (20` j Z -9 ; i b <br /> ADDRESS � 2 � ` «�0���-fi`Q '' C i <br /> �( Repair/Construction LOCATION SKETCH Show North <br /> Compliance <br /> Insurance <br /> Escrow <br /> Make&Type of Pump or Dispenser <br /> Cover Over Lines <br /> Approx Burial Depth <br /> Weather <br /> -�• t <br /> �� C@SSUP@ ^� UCttO SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> LEAF( DETECTOR FTA LEAK DETECTORTEST INFORMATION Calibrate <br /> 10 PSI <br /> Oponing I Element <br /> LD Serial Time In Test Leak Holding Pass t <br /> KEY TYPES No/Product Key Number Resiliency Seconds Rate ML/Min PSI Metering PSI Pail <br /> A LD 2000 <br /> 6 LD 2000 E <br /> C FXI V <br /> D FXI DV <br /> E STPMLD <br /> F STPMLD-D <br /> G STPMLD-E <br /> H STPMLD-DIE Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATIO Tests were made on the line systems as noted in accordance with test procedures <br /> Technic! n;Tani/ArN - 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 /> PETRO TE CERT# PAS / FAIL / INCONCLUSIVE <br /> CCA0202112304R <br /> OTTL 1.,004-1676 1�L_ Y / FAIL / INCONCLUSIVEtrainee / FAIL / INCONCLUSIVE <br /> ✓�%. iR' ^- PASS I FAIL I INCONCLUSIVE <br /> EQUIP NT:r'ETRO TITS LINE'YF$1'rR <br />