Laserfiche WebLink
AFFORDA-TE$T 416 2nd Street Galt CA 95630 <br /> LINE & LEAK DETECTOR <br /> (209) 744-0112 FAX (209) 744-0116 TEST REPORT <br /> CONTRACTOR/ENGINEER <br /> TEST DATE '- -� <br /> SITE NAME t o <br /> k PHONE ( ) .. . <br /> ADDRESS 1A q <br /> Repair/Construction LOCATION SKETCH <br /> Compliance Show North <br /> Insurance <br /> ,e. <br /> Escrow <br /> Make&Type of Pump or Dispenser l <br /> Cover Over Lines <br /> 1,10 S <br /> Approx Burial Depth <br /> Weather <br /> T• - - w' <br /> Pressure Suction SHOW STREETS, LDGS,TANKS,ISLANDS,PIPING(IF KNOWN), PUMPS OR DISPEN,ERS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION <br /> Calibrate <br /> Opening I Element 10 PSI <br /> LD Serial Time In Test Leak Holding Pass 1 . <br /> KEY TYPES No/Product Key Number Resiliency Seconds Rate MUMin PSI Metering PSI Fail <br /> A LD 2000 <br /> B LD 2000 E <br /> C FXI V <br /> D FXI DV <br /> E STPMLD <br /> F STPMLD-D <br /> j STPMLD-E <br /> STPMLD-D/E Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION Tests were made on the line systems as noted in accordance with test procedures <br /> echnician:Lyle D. N11112110 prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> LINE IDENTIFICATION <br /> NET VOLUME CHANGE PER HOUR <br /> ETTITE CERT# <br /> 90993AO163 OTTL PASS FAIL / INCONCLUSIVE <br /> C#97-1143 �°.��'� , <br /> PASS / FAIL / INCONCLUSIVE <br /> rainee: t PASS /, FAIL / INCONCLUSIVE <br /> UIPMENT.PETRO TITE LINE TESTER PASS ! FAIL / INCONCLUSIVE <br /> 1 <br />