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416 2"d Street Phone:(209)744-0112 LINE & LEAK DETECTOR <br /> rda ' 'S.. Gait,Ca 95632 Fax: (209)744-0116 TEST REPORT <br /> afforda@softcom.net <br /> CONTRACTOR/ENGINEER Bagley <br /> NAME:SAN JOAQUIN HOSPITAL Engineering Plant TEST DATE 8/30/2012 <br /> ADDRESS 500 WEST HOSPITAL RD <br /> CITY FRENCH CAMP <br /> Repair/Construction LOCATION SKETCH Show North <br /> ® Compliance ❑ Owners Request <br /> ❑ Insurance Escrow P <br /> Other x <br /> P <br /> Make&Type of Pump or Dispenser <br /> RED JACKET O <br /> Cover Over Lines <br /> CONCRETE <br /> Approx Burial Depth a <br /> 24' x <br /> Weather T <br /> SUNNY <br /> Pressure Suction SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br /> Opening Test Leak 1 Element <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Metering Pass/ <br /> Product Key Number Seconds ML/Min. PSI PSI Fail <br /> A LD 2000 <br /> B LD 2000 E <br /> C FXI V <br /> D FXI DV <br /> E STPMLD <br /> F STPMLD — D <br /> G STPMLD — E <br /> H I STPMLD—D/E Notes: <br /> CONTRACTOR <br /> CERTIFICATION LINE TEST RESULTS <br /> Technician: Tests were made on the line systems as noted in accordance with test procedures <br /> Felix Ramirez 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 /> PETROTITE CERT.#: CCA: 02030328110 RED DIE PASS -,0005 <br /> OTTL License#: 08-1740 <br /> Trainee: <br /> EQUIPMENT: PETRO TITE LINE TESTER <br />