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Ll <br />OIL EQUIPMENT SERVICE <br />Division of Keith A. Ta Ilia, Inc. <br />LEAK DETECTOR TEST RECORD <br />Customer <br />Norm's 76 <br />Location <br />633 E. Victor Rd., Lodi, CA 95240 <br />Technician <br />James P. Hesketh <br />STATE I.ICENSF: No. 323417 <br />CLASSIFICATION: A-IIA7.., C611)40 <br />STA,rF: ENVIRONMENTAL ASSESSOR No. 111781 <br />Product <br />Super <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 />Submersible Pump Identification <br />Manufactures Model No. Serial Number <br />Tokheim 100585-34 58522866 <br />Leak Detector Identification <br />Manufacturer Description Other Style Leak I>e!ret r <br />RJ MY 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 28 psi (para. 15) <br />2. Gallons per hour rate 3 (para. 22) <br />3. Line pressure with pump shut off 19 psi (para. 23) <br />4. Bleedback Test with pump off 1500 ml (para. 26) <br />5. Step -through time to full flow 15 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 />Nail = Leak detector fails test protocol <br />Pass X _ <br />Nail- -- - -- <br />Az6 4/02 <br />hnician Date <br />James P. Hesketh <br />