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POB 3G. 5 N. Sacramento Blvd. <br /> or d a <br /> � <br /> LEAK DETECTOR <br /> � - !25 -9087 <br /> FAX 209 744-0112 TEST REPORT <br /> r-D <br /> OwRer/ContractorlEnR: TEST DATE: I f-- ENVIRONMENTAL HEALTH AGENCY: <.> <br /> <=> <br /> 4�- <br /> j <br /> SITE NAME: <br /> I SiteAddmseLyle A Mmmo <br /> TECHNMAN NAhIF.;- Present Not Present <br /> Ph 011e: TECH SIGNATM: <br /> wsPEMORNAME: <br /> Operator Name: i OTT[.4 97-1143 <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B— 99LD2009 D -FE Petro STP-MLD-E 11 Red Jacket FXIVD <br /> E WF Petro STP-MLD-D <br /> F FE Petro STT-MLD-DE j Other <br /> Uxated <br /> FTA LEAK DETECTOR TEST INFORMATION Ca10 13to <br /> si <br /> Dispenser Product ;LD Key Selial.# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> (fram a in 80C-q2-fl1dLhj M1 per Minute lloldijnPSI Pass/Fail <br /> —7- <br /> 0 F <br /> P/F <br /> PIF <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> ---T--P/F <br />