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416 2nd Street LEAK DETECTOR <br /> A ffo r d' a-T e$t Galt,California 95632 <br /> 209 744-0112 800 524-9087 FAX 209 744-0116 TEST REPORT <br /> Ow ner/Contractor/En : TEST DATE: ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME: t?r ve ;Y '1' <br /> Ci h7. - Present Not Present <br /> d 11 <br /> INSPECTOR NAME: <br /> Phone: A f TECH SIGNAT _. . �, i a `'.:.t h 3 •fh <br /> Operator Name: OTTL # 97-1 '3 ICC#5249115-UT <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> LD2000/E D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION Callopsidto <br /> 10 si <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> fiom Iove inseconds Ml perMinute Holdin PSI Pass/Fail <br /> P/F <br /> P/F <br /> to ( `? _` <br /> '• P F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />