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E <br />.0.1da- <br />�Ue Addre�4)5-) L41 CA21 5-k <br />hone: C) 9 L4 <br />0,oerator Name: <br />416 2nd Street LEAK DETECTOR <br />Galt, California 95632 <br />(209 744-0112 800) 524-9087 FAX 209) 744-0116 TEST REPORT <br />TEST DATE: jk)11 %7 -Z (- <br />)n fl) ENVIRONMENTAL HEALTH AGENCY: <br />1ECIINIcIah, hjawE. Felix Ramirez Present 0 Not Present <br />TECH SIGNATURE: INSPECTOR NAME; <br />OTTL # 08-174 ICN 5273934 -UT,' <br />10 W.111 1014 1�@W <br />LD2000 C FE Petro STP -MLD G Red Jacket FXIV <br />LD20OO/E D FE Petro STP -MLD -E H Red Jacket FXIVD <br />I E FE Petro STP -MLD -D <br />I F I FE Petro STP -MLD -DE i Other <br />FTA LEAK DETECTOR TFNT INFORMATYnN Calibratedto <br />I Dispenser <br />Product <br />LD Key <br />Serial # Resiliency Opening Test Leak Rate <br />Functional Metering PSI <br />Number <br />Time <br />Element <br />(fromabove) <br />(inseconds ML M <br />----...zer Minute <br />Holdia PSI Pass/Fail <br />A <br />I (D 0 2- B9 <br />ZD C �LF <br />P/F <br />® I511S <br />zD (P F <br />ti <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P <br />P/F <br />4 <br />P/F <br />