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-T T 416 2nd Street Galt CA 95632 LINE & LEAK DETECTOR <br /> (209) 744-0112 FAX (209) 744-011 TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE D <br /> SITE NAMEPHONE ) <br /> ADDRESS -7000 - <br /> Repair/Construction LOCATION SKETCH snow North <br /> Compliance - �?EL a ell- <br /> Insurance <br /> Escrow <br /> Make&Type of Pump or Dispenser I`t 1 � f (,D 9 <br /> Cover Over Lines ® �`� a �-7q 4. � <br /> Coc . <br /> Approx Burial Depth <br /> 1 <br /> Weather <br /> CC..�_•�f <br /> Pressure Suction SHOW STREETS,BLDGS,TANKS, ISLANDS,PIPING(IF Khl WN LP®PS OR DISPENSERS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 10 PSI <br /> Opening I Element <br /> LD Serial Time In Test Leak Holding Pass/ <br /> KEY TYPES No/Product Key Number Resiliency Seconds Rate MUMin PSI Metering 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 STPMLD- D/E Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION Tests were made on the line systems as noted in accordance with test procedures <br /> Te ician:Lyle D. Nimmo 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 qw- I <br /> f/€ <br /> PETR&ITE CERT# 2 <br /> 090993A0163 OTTL U[� PASS ! FAIL / INCONCLUSIVE <br /> Lic#97-1143 PASS FAIL / INCONCLUSIVE <br /> Tr ' e PASS / FAIL / INCONCLUSIVE <br /> f �rk, r PASS / FAIL / INCONCLUSIVE <br /> EOU6PMEI�T:PETRO TIT ZLINE TESTER f <br /> \ 1 <br />