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OIL EQUIPMENT SERVICE <br />Division of Keith A. Talliu, hie. <br />LEAK DETECTOR TEST RECORD <br />Customer <br />Norm's 76 <br />Location <br />Technician <br />James P. Hesketh <br />v <br />STATE; LICENSE No. 323417 <br />CI.ASSIFICATION: A-11AT, C611)40 <br />S'1'ATF. ENVIRONMENTAL ASSESSOR No. 01781 <br />Product <br />Reg <br />Telephone: (209) 754-1808 <br />Fax: (209) 754-5726 <br />Post Office Box 950 <br />750 Industrial Way <br />SAN ANDREAS. CALIFORNIA 95249 <br />t�� <br />ate <br />/02 <br />Submersible Pump Identification <br />Manufacturer Model No. Serial Number <br />Tokheim 585-34 585-22865 <br />Leak Detector Identification <br />Manufacturer Descri tion Other Sivle Lrak__I )r!cLAot <br />Red Jacket- FX1 V Diaphragm -type <br />Piston -type X <br />Tamper -proof seal installed? Yes No X <br />Leak Detector in Submersible Pump <br />Test at Dispenser <br />1. Operating Pump Pressure 27 psi (para. 15) <br />2. Gallons per hour rate 3 (para. 22) <br />3. Line pressure with pump shut off 26 psi (para. 23) <br />4. Bleedback Test with pump off 140 ml (para. 26) <br />5. Step -through time to full now 2 seconds (para. 30) <br />r <br />6. Leak detector stays in leak search position. (para. 42) Yes_X _ <br />No <br />LEAK DETECTOR,rEST *Complete thermal expansion test <br />Note: Pass Leak detector lits test protocol before failing leak detector. <br />Fait = Leak detector fails test protocol <br />Pass X _ -- <br />If <br />IeZ <br />Pi <br />- - 11-/_4/02 <br />e niciari Date <br />dId/nmes P. Hesketh <br />