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Afforda-Te$t <br />Owner/Contracto <br />U <br />416 2nd Street <br />Galt, California 95632 <br />(209) 744-0112.,(800) 524-9087 FAX (209) 744-0116 <br />TEST DATE: ; 5"-, 2-0Dr7 <br />LEAK DETECTOR <br />TEST REPORT <br />ENVIRONMENTAL HEALTH AGCY: <br />GJiq,y ac' -o -U f-N� <br />0 erator Name: L <br />Gti a A. NZriitriO <br />5205Pho�'orng, <br />TECH SIGNATURE: <br />OTTL # 04- ICC # 5263322 -UT <br />® Present <br />INSPECTOR, NAME: <br />Not Present <br />LA.4•- <br />A LD2000 <br />LEAK DETECTOR KEY <br />C FE Petro STP -MLD <br />G Red Jacket FXIV <br />D LD2000/E <br />D FE Petro STP -MLD -E <br />H Red Jacket FXIVD <br />E FE Petro STP -MLD -D <br />F FE Petro STP -MLD -DE <br />J Other <br />7P t --b <br />Q+Ep <br />FTA LEAK DETECTOR TEST INFORMATION <br />Calibratedto m <br />10 si <br />Dispenser Product <br />Number <br />LD Key <br />fiomabove <br />Serial # Resiliency Opening <br />Time <br />inseconds <br />O <br />Test Leak Rate <br />ML e Minute <br />Functional <br />Element <br />Holdin PSI <br />Metering PSI <br />Pass/Fail <br />F <br />P/F <br />01( <br />P/F <br />5 1,167 <br />M/ A/ TA I w( <br />Lrc b o <br />p/ <br />P/F <br />PIE <br />P/F <br />PIF <br />P/F <br />P/F <br />P/F <br />r <br />