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r�.,� �v Z-vi li Iv. aria I v. n,.. LEVE (IL LLAA VEI.EU�1 UK <br /> f forbra,�zr� THORNTON, CA. 95686. TEST REPORT <br /> 209 794-0102 800 524-9087 <br /> CONTRACTOR/ENGINEER ITESTDATE <br /> ORDERING TEST <br /> DD <br /> SITE: 6;6'4 t �� �N/ f�`� - L�C!7,lj � r� <br /> OPERATOR Station# OWNER <br /> SITE ADDRESS IoJ7 llosexl-rg ADDRESS <br /> PHONE '` - PHONE ' <br /> ... ............._.......... .. .,... .... ......... _.......y.:.............__ ... ..........,::.,........- ._........--...........,kw:.,.. ..w a,vwrru.-......ar.-v.w.w.r ...w4eYx, w:i+a.Ht.nn N+.uY".4 .rrn�'rar M......r ... ... a.a. <br /> REASON FOR TEST LOCATION SKETCH171 " T' <br /> LINE(s)ONLY L_kANY_(B)-L1NE(S <br /> LMS)-LEAK DET. <br /> TANK(s)-LINE(s)-LEAK DET. <br /> MAKE�TYPE OF PUMP <br /> ORDISPENSER f Ev <br /> COVER OVER <br /> LINES CO/`1t Q.1✓�'? <br /> APPROX BURIAL <br /> WEATHER <br /> PRESSURE SUCTION Lj SHOW MU rS,eLDdS,TANKS,ISLANDS;PIPING aF KN0VMX PUMPS OR 131SPL' MS <br /> FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> FZFAKTECTOR 10 PSI <br /> No. LD Serial Opening Test functional ,etering Yes/My Number Resiliency ime LeakRate Element PSI No <br /> Produd In Seconds MLMin Noldin PSI <br /> D P/N 116036-5 <br /> PIN BFLD?3M-MODEL116039-5 <br /> P/N 116030-5 <br /> P/N 116035-5 <br /> R DLD P/N116017-5 <br /> q BFLD P/N 116012-5 <br /> 1 OTHER <br /> Notes <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION TESTS HERE AMDE ON THE LINE SYMMSAS NOTED INACCORDANCE,WITH TEST <br /> PROCEDURES PREEMBED FOR AS DETAILED ON THE TEST CHART ON SIDE 2 <br /> echniciaw an immo OF77IISMRMifTIIfRESULTSASFOLLOifS: <br /> ` LINE IDENTIFICATION NET VOLUME C�YANGE PER HOUR <br /> PASS' / FAIL / INCONCLUSIVE <br /> :TRO(.-,,T,OTTL <br /> E CERT# CAA0202112304R <br /> Lic#04-1676 PASS / FAIL / INCONCLUSIVE <br /> -ainee: PASS / FAIL / INCONCLUSIVE <br /> 3QUIPMENT: PETRO TITE LINE TESTER PASS.,/.._FAIL, / INCONCLUSIVE <br />