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L <br />OIL. EQUIPMENT SERVICE <br />Division of Keith A. Tallia, lie. <br />LEAK DETECTOR TEST RECORD <br />Customer <br />Norm's 76 <br />STATE 1.ICFNSF. No. 323417 <br />CLASSIFICATION: A-IIA7.., C6ID40 <br />STA'rF ENVIRONMENTAL ASSESSOR No. 01781 <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 />Date <br />6/4/02 <br />Location <br />633 E. Victor Rd., Lodi, CA 95240 _ <br />Technician Product t <br />James P. Hesketh Plus _ <br />Submersible Pump Identification <br />Manufacturer Model No. Serial Number <br />Tokheim 100585-34 58522864 <br />Leak Detector Identification <br />Manufacturer Description Other Style teak J)ctect(_ r <br />RJ F X 1 V Diaphragm -type X ___-- <br />Piston-type <br />Tamper -proof seal installed? Yes No X <br />Leak Detector in Submersible Pump <br />Test at Dispenser <br />1. Operating Pump Pressure 2 9 psi (para. 15) <br />2. Gallons per hour rate 3 (para. 22) <br />3. Line pressure with pump shut off 27 psi (para. 23) <br />4. Bleedback Test with pump off 150 ml (para. 26) <br />5. Step -through time to full flow 4 seconds (para. 30) <br />6. Leak detector stays in leak search position. (para. 42) Yes X <br />No <br />LEAK DETECTOR TEST *Complete thermal expansion test <br />Note: Pass Leak detector fits test protocol before failing leak detector. <br />Fail = Leak detector fails test protocol <br />PassX __ <br />'A*�'6/4/02 <br />chnician Date <br />ames P. Hesketh <br />