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A <br /> Y 18 2016 <br /> 416 2"a Street Phone:(209)744-0112 LINE $c LEAK®�TEO IC <br /> 111111611111-10 a- e L Galt,Ca 95632 Fax:(209)744-0116 TEST REPORT <br /> affords@softcom.net <br /> CONTRACTOR/ENGINEER ELITE IV <br /> SITE NAME:HAMMER LANE OIL TEST DATE 04-29-16 <br /> SITE ADDRESS 3304 WEST HAMMER LANE PHONE ( ) - <br /> CITY STOCKTON CA <br /> ® Repair/Construction LOCATION SKETCH Show North <br /> ❑ Compliance❑ Owners Request <br /> ❑ Insurance ❑ Escrow <br /> ❑ Other <br /> Make&Type of Pump or Dispenser <br /> WAYNE <br /> Cover Over Lines <br /> CONCRETE <br /> Approx Burial Depth <br /> 5-6 FEET <br /> Weather <br /> SUNNY <br /> ® I Pressure Suction ❑ SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br /> Opening Test Leak I Element <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Metering Pass/ <br /> Product Key Number Seconds ML/Min. PSI 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 /> G STPMLD — E <br /> H STPMLD—D/E Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION <br /> Technician: Tests were made on the line systems as noted in accordance with test procedures <br /> Felix Ramirez prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> PETROTITE CERT.#: CCA:0203032811C DIESEL, ®PASS ❑FAIL ❑INCONCLUSIVE .0000 <br /> OTTL License#:08-1740 ❑PASS ❑FAIL ❑INCONCLUSIVE <br /> Trainee: []PASS ❑FAIL ❑INCONCLUSIVE <br /> []PASS ❑FAIL ❑INCONCLUSIVE <br /> EQUIPMENT: PETRO TITE LINE TESTER ❑PASS ❑FAIL ❑INCONCLUSIVE <br />