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Afforda-Te'tThornton, <br />11111 26515 N. Sacramento Blvd. <br />California 95686 <br />LEAK DETECTOR <br />kl� <br />209 794-0102 794-0102 1800) 524-,9087, fAa2091 794-0112 <br />TEST REPORT <br />Owner/Contractor/Eng: <br />TEST DATE: 7 /0 5- <br />ENVIRONMENTAL HEALTH AGENCY: <br />SITE NAME: CZ AS 1),e pc -7 <br />7OA-QtAIAJ e6 <br />I V Present Not Present <br />INSPECTOR NAME: \bk-6,5,00 f <br />-52 Zanp e Ad&ess: -'t) 16 ® E, -405EM126- TEUMCIANIIA A. Mmmo <br />L4: MA hl"Cull&, e -A - <br />Phone: TECH SIGNA- <br />Operator Name: 4 1 A OTTL # 04-1676 <br />V ISD <br />nn� <br />LEAK DETECTOR KEY <br />W� LUUJ <br />A LD21000 <br />C FE Petro STP -MLD <br />G Red Jacket FXIV <br />I 99LD2000 PERMIT/SERVICES <br />D FE Petro STP -MLD -E <br />H- Red Jacket FXIVD <br />E <br />FE Petro STP -MLD -D <br />I <br />F FE Petro STP -MLD -DE <br />J_1 Other <br />FTA LEAK DETECTOR TEST INFORMATION <br />Calibrated to <br />10 Usi <br />Dispenser Product <br />Number <br />LD Key Serial # <br />-ftom above) <br />Resiliency Opening Test Leak Rate <br />Time <br />in seconds MI r Minute <br />77 6 <br />7 <br />Functional Metering Psi <br />Element <br />HLIdin& PSI Pass/Fail <br />z 4 F <br />_0P <br />P/F <br />1-5 <br />I 1JF <br />_j <br />P/F <br />0; <br />3 <br />M <br />(-P-'/'� <br />P/F <br />P/E <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />