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POB 36 26515 N. SACTO. BL. LINE & LEAK DKIIEC] UK <br />THORNTON, CA. 95686. <br />TEST REPORT <br />2091 794-0102 J8001 524-9087 <br />CONTRACTOR/ENGINEER_ TEST DATE <br />ORDERING TEST <br />OWNER <br />1� <br />SITE: D SS <br />)j/yj-1jvYStation# OWNER <br />OPERATOR <br />ADDRESS <br />SITE ADDRESS <br />PHONE PHONE <br />REASON FOR ST LOCATION SKETCIl <br />LINE(s) ONLY �(s�)-LINE(s <br />p -LEAK DET. <br />TANK(s)-liNE(s)-LFAX DET. <br />MAKE PETYPE OF rubwFo <br />ORDISPENSER T40 <br />COVEROVERyp <br />LWEB k, <br />—APPROX BURIAL <br />DEPTH <br />WEATHER <br />PRESSURE 5vCTION <br />LEAKDETECTOR <br />N06 <br />Y9 m1w.- Produc <br />XLD P/N 116036-5 11 jfjkf�- <br />PLD PIN 116030-5 <br />XLP P/N 116035-5 <br />DLD PIN1 16017-5 <br />BFLD P/N 116012-5 <br />I Notes <br />CONTTACTOR. <br />CERTIFICATION <br />ncumcun,L LED. N <br />SIGNATUMB 4 <br />PETRO UTJ� . CERT. # 090993AO163 <br />U LIC N 91-1143 <br />ThiincoNarns <br />Trainee Signature <br />FEATURING-PETRU--ME <br />... . T.INR TFRTp.R <br />lAt <br />SHOW F=int BLDdS. K& IMANDKEI—PIN—Off KM—W1-!LR—WS <br />OR DISPENSERS <br />FTA LEAK DETECTOR TEST INFORMATIO IN <br />CalPSIte <br />10 <br />LD Serial 0 <br />Number Resiffeng Me <br />-d 111 <br />Leak Rate Element <br />Yes <br />FSI NO <br />I I In Seconds <br />ML/Mur Noldln FSI <br />�7/•�/ <br />LINE TEST RESULTS <br />TESTS ;jEWAj,WEojV VIEMAff SYSTWSAS NOTED NACCORDAMCERTTH TEST <br />ppocEDuREs PRESCRIBED FOR AS DETAILED ON THE TE -ST CHART ON SIDE 2 <br />OF 7711S MW WMI MULTS AS FOLLOHS -------- <br />LINE IDENTIFICA TION,—, NET VOLUME CHANGE PER HO I <br />Y <br />PAS FAIL INCONCLUSIVE <br />PASS FAIL / INCONCLUSIVE <br />PASS FAIL / INCONCLUSIVE <br />PASS <br />...FAX / INCONCLUSIVE <br />.41 <br />