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OIL EQUIPMENT SERVICE <br />Division of Keith A. Tallia, Inc. <br />Customer <br />Norm's 76 <br />Location <br />633 E. Victor Rd., Lodi, CA 95240 <br />STATE LICENSE No. 323417 <br />CLASSIFICATION: A-HAZ., C61D40 <br />STATE ENVIRONMENTAL ASSESSOR No. 01781 <br />Technician Product <br />James P. Hesketh 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 />Date <br />7/13/00 <br />Submersible Pump Identification <br />Manufacturer Model No. Serial Number <br />Tokheim 585-34 585-22865 <br />Leak Detector Identification <br />Manufacturer Description Other Style Leak Detector <br />Red Jacket Diaphragm -type <br />Piston -type X 1 <br />Tamper -proof seal installed? Yes No X <br />Leak Detector in Submersible Pump <br />Test at Dispenser <br />1. Operating Pump Pressure 2 6 psi (para. 15) <br />2. Gallons per hour rate 3 (para. 22) <br />3. Line pressure with pump shut off -32 psi (para. 23) <br />4. Bleedback Test with pump off 1 0 0 ml (para. 26) <br />5. Step -through time to full flow 3 seconds (para. 30) <br />6. Leak detector stays in leak search position. (para. 42) Yes_X_ <br />No <br />LEAK DETECTOR TEST <br />Note: Pass = Leak detector fits test protocol <br />Fail = Leak detector fails test protocol <br />Pass X <br />Fail- <br />7/13 <br />ail <br />*Complete thermal expansion test <br />before failing leak detector. <br />7 13 100 <br />Te ian Date <br />