Laserfiche WebLink
OIL <br />Division of Keith A. Tallia, Inc. <br />STATE LICENSE No. 323417 <br />CLASSIFICATION: A -HA2., C61D40 <br />STATE ENVIRONMENTAL ASSESSOR No. 01781 <br />Telephone: (209) 754-1808 <br />Fax: (209) 754-5726; <br />Post Office Box 9501 <br />750 Industrial Way <br />SAN ANDREAS, CALIFORNIA 95249 <br />LEAK DETECTOR TEST FORM <br />Date 6/7/99 <br />Facility Name Norm's "76'' <br />Facility Address & City 633 E. Victor Rd., Lodi, CA 95240 <br />LEAK DETECTOR TEST RESULTS: <br />ALL LEAK DETECTORS ARE TO EE TESTED IN-LINE- INDICATE TYPE OF LEAK DETECTOR WITH SERIAL NUMEER <br />(XLD, XLP, LD -2000, ETC_). <br />LEAK DETECTORS ARE TESTED IN ACCORDANCE WITH THE MANUFACTURER'S SPECIFICATIONS. <br />CERTIFIED TESTER'S ID 9 <br />SIGNATURE OF CERTIFIED I Ei:IINIUAN <br />PRINTED NAME OF CERTIFIF D i E-CHNICIAN <br />TESTING COMPANY NAMF & TE-:1EPHONE # <br />ames P. Hesketh <br />it Equipment Service <br />209-754-1808 <br />" IF INITIAL- LFAK DETECTOR FAILS, ALL REPLACEMENTS SHALL BE TESTED. <br />MAKEIMODEL <br />SERIAL r <br />LEAK RATE <br />PASS OR <br />CHECK VAPIE <br />METERING PSI <br />2 Octane <br />TESTED (GPH) <br />FAIL <br />PSI <br />LD #1 <br />Red Jacket <br />'Fw1-11 —047 <br />05 1959913 <br />Pass <br />21 <br />( 10 <br />NEw <br />Octane <br />LD#2 <br />FxIU-116-056 <br />081691806 <br />3 <br />Pass <br />26 ( 10 <br />NEW <br />7 1- <br />( <br />k <br />LD #3 <br />FxIU-116-05II <br />51 2978637 <br />I 3 <br />Pass <br />32 <br />10 <br />NEW <br />f <br />�� <br />LD #4 <br />----------- <br />N ESN <br />LEAK DETECTORS ARE TESTED IN ACCORDANCE WITH THE MANUFACTURER'S SPECIFICATIONS. <br />CERTIFIED TESTER'S ID 9 <br />SIGNATURE OF CERTIFIED I Ei:IINIUAN <br />PRINTED NAME OF CERTIFIF D i E-CHNICIAN <br />TESTING COMPANY NAMF & TE-:1EPHONE # <br />ames P. Hesketh <br />it Equipment Service <br />209-754-1808 <br />" IF INITIAL- LFAK DETECTOR FAILS, ALL REPLACEMENTS SHALL BE TESTED. <br />