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1(209) <br /> 36 26515 N. SACTO. BL. LIN •& LEAK DETECTOR <br /> ,. � RNTON, CA. 95686 TEST REPORT <br /> 794-0102 800 524-9087 <br /> CONTRACTOR/ENGINEER Gt/7 1 G 'y- �, +�'C�f 1 �! TEST DATE 7 <br /> ORDERING TEST <br /> SITE: <br /> P RATOR 7+�' Station# OWNER <br /> O E O k),3(�,at-14a - c� f <br /> KESS D3� k� � r�e.^ ADDRESS <br /> SITE ADD 3 J <br /> PHONE ( - ( (a PHONE <br /> REASON FOR TEST LOCATION SKETCH <br /> IRMs)ONLY ANK(S}LMS <br /> tft*4s}LEAK DET. <br /> TANK(S)-LINE(e)-LEAK DET. <br /> MAU A TYPE OF Mw /� � <br /> ORDUMMI R p of YN G< i, <br /> vovu ovpA <br /> LM <br /> APPROX BUNAL <br /> DVM <br /> WEA7WR <br /> PRESSURE SUCTION SNOW StREETS BLDdS.TANKS,ISLAM •PIPING P KNOWN PUMPS OR DISPENSERS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 19 PSI <br /> No. LD Serial 0&nin Test functional Yea/ <br /> Er Number Resiliency 17me Leak Rate Element PSI No <br /> Y "FES. Product In Seconds Hol PS <br /> XLD P/N 116036-5 <br /> XFLp(AL MODEL <br /> pfil 11683" <br /> PLD P/M 116030-5 <br /> XLP PIN 116035-5 <br /> DLD P/141116017-5 <br /> BFLD PIN 116012-5 <br /> Notes <br /> Corfmcrolk LINE TEST RESULTS <br /> CERTIFICATION IF=IMMMADEONTNELINESY S43ASNOTEDINACCORDANCE07MTEST <br /> PROCEDUIMPREPURIBED FOR AS MAILED ON THE TIa.ST CHART ON S092 <br /> TECHNICIAN; YLE D`� .N O OF7711SFORM rt'ITII AMULISASPU NS. <br /> elalrATuu ;�� <br /> LINE IDENTIFICA TION NET VOL UME CJZ4NGE PER HOUR <br /> PETRO CERT.i OWIMA0163 �� r PAS / FAIL / INCONCLUSIVE (p <br /> O L LIC N "-1143 <br /> PASS / FAIL / INCONCLUSIVE <br /> PASS / FAIL / INCONCLUSIVE <br /> FRAII&M pt;Ttt nM PASS,./..,FAIL / INCONCLUSIVE <br />