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POB 36 26515 N. SACTO. BL.L E & LEAK DETECTOR <br />Af f THORNTON, CA. 95686 <br />209 794-0102 800 524-9087 TEST REPORT <br />CON <br />ORDSTRACTOR/ENGINEER S > -r TEST DATE / U - 15 -00 2-:. <br />ORDERING TEST mo <br />SITE:�z+2W�� <br />OPERATOR }` Station# OWNER NOV 0 4 20OZ <br />SITE ADDRESS o®�,��{ L ADDRESS 14 <br />MIT SERVICES <br />PHONE - PHONE - <br />REASON FOR TEST <br />ANN a A t— <br />LOCATION SKETCH 1wowwmn <br />©n _ J" - <br />i. ;«, U <br />SNOW STREETS BLDGS. TANKS, ISLANDS' PIPING F KNOWK PUMPS OR DISPENSERS <br />X <br />LRgNS) ONLY <br />TANK(,) -LINE(, <br />LINES) -LEAK DET. <br />TANK(S)-LINES)-LEAK DET. <br />PE <br />MAKE & TYOF PUMP, ,..,1 ` <br />OR DISPENSER C• 1 jhe <br />COVER OVER <br />LINES 1.Qp Y1 C.. Y—'v <br />APPROX BURIAL ¢ a <br />DEPTH•` " <br />WEATHER !.;%) r-- V" <br />PRESSURE <br />SUCTION <br />LEAK DETECTOR <br />FTA LEAK DETECTOR TEST INFORMATION Calibrate <br />10 PSI <br />No. LD Serial Opening Test <br />E' K. Number Resiliency Time Leak Rate <br />y TYPES: Product In Seconds MI Min <br />Functionaletering <br />Element <br />Holdin PSI <br />PSl <br />Yes! <br />No <br />XLD P/N 116036-5 <br />BFLD (XL MODE <br />PLD P/N 116030-5 <br />XLP P/N 116035-5 <br />DLD P/N116017-5 <br />BFLD P/N 116012-5 <br />07MR <br />Notes <br />CONTRACTOR. <br />CERTIFICATION <br />LINE TEST RESULTS <br />TESTS KEREMADE ON 77IELINE SYSTFMSASNOTED INACCORDANCE WI71V TEST <br />PROCEDURES PRESCRIBED FOR AS DETAILED ON THE TEST CHART ON SIDE 2 <br />OFT711SMI RMWITHRESULTSASFULLOWS: <br />TECFIMCIAN'.L LE.D. NIMMO <br />LINE IDENTIFICATION NET VOL UME C ANGE PER HOUR <br />PETROME CERT. # 090993AO163 <br />OfTL LIC 4 "-1143 <br />Thh=Ncoe <br />Q i; N a t-7PASS <br />/ AH. / INCONCLUSIVE <br />PASS FAIL / INCONCLUSIVE <br />• <br />rs�.e <br />FEATURING PETR -TITE <br />- LINE TESTER <br />PASS / FAIL / INCONCLUSIVE <br />PASS•. / •.,FAIL / INCONCLUSIVE <br />