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Afforda-Te t 416 2 Street Phone:(209)744-0112 LINE & LEAK DETECTOR <br /> Galt,Ca 95632 Fax: (209)744-0116 TEST REPORT <br /> afforda@softeom.net <br /> CONTRACTOR/ENGINEER <br /> SITE NAME: MARKS FOOD & FUEL TEST DATE 10/28/2019 <br /> SITE ADDRESS 880 EAST VICTOR ROAD PHONE (916) 712 -7929 <br /> CITY LODI CA 95240 <br /> ❑ Repair/Construction LOCATION SKETCH Show North <br /> ® Compliance ❑ Owners Request <br /> ❑ Insurance ❑ Escrow <br /> ❑ Other <br /> Make&Type of Pump or Dispenser <br /> RED JACKET/GILBARCO <br /> Cover Over Lines <br /> CONCRETE <br /> Approx Burial Depth <br /> 4-5 FEET <br /> Weather <br /> COULDY <br /> ® I Pressure I SUCtIOfI ❑ 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 rescribed 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:0203032811 C 91 OCT ®PASS ❑FAIL []INCONCLUSIVE -.0010 <br /> OTTL License#:08-1740 87 OCT MPASS ❑FAIL ❑INCONCLUSIVE -,0010 <br /> Trainee: DIESEL MPASS ❑FAIL ❑INCONCLUSIVE -,0015 <br /> ❑PASS ❑FAIL ❑INCONCLUSIVE <br /> EQUIPMENT: PETRO TITE LINE TESTER ❑PASS ❑FAIL ❑INCONCLUSIVE <br />