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(209) 744-0112 FAX (209) 744-0116 TEST REPORT <br />CONTRACTOR/ENGINEER <br />������,�1%���A���t_� <br />- <br />TEST DATE <br />SITE NAME SES' 5 2008 PHONE ( ) <br />ADDRESS 790 6 /�0,2 1j�� ��N ^, -, 4i 1 lnr <br />i t•.t .v- <br />eA *-,57,/0 <br />Repair/Construction <br />Compliance <br />Insurance <br />Escrow <br />LOCATION SKETCH Show North <br />It 0.7 87 P37- <br />O <br />rj�d <br />3 Z sa <br />SHOW STREETS, BLDGS, TANKS, ISLANDS, PI G (IF KNOWN), PUMPS OR DISPENSERS <br />X <br />Make & Type of Pump or Dispensero <br />& <br />Cover Over Lines <br />Approx Burial Depth <br />Weat <br />X. I <br />Pressure Suction <br />LEAK DETECTOR <br />FTA LEAK DETECTOR TEST INFORMATION Calibrate <br />10 PSI <br />KEY TYPES <br />No/Product <br />LD <br />Key <br />Serial <br />Number <br />Resiliency <br />Opening <br />Time In <br />Seconds <br />Test Leak <br />Rate ML/Min <br />I Element <br />Holding <br />PSI <br />Metering PSI <br />Pass/ <br />Fail <br />4 <br />LD 2000 <br />3 <br />LD 2000 E <br />FXI V <br />FXI DV <br />STPMLD <br />= <br />STPMLD - D <br />, <br />STPMLD - E <br />-I <br />STPMLD - D/E <br />Notes: <br />CONTRACTOR <br />CERTIFICATION <br />echnician: Zane A. Nlliimo <br />LINE TEST RESULTS <br />Tests were made on the line systems as noted in accordance with test procedures <br />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 />'ETROTITE CERT# <br />;CA0202112304R <br />)TTL Lic#04-1676 <br />PASS AIL /INCONCLUSIVE <br />PASS / FAIL / INCONCLUSIVE <br />' =PASS/ AIL / INCONCLUSIVE <br />PASS / FAIL / INCONCLUSIVE <br />4. Z� o io 0 <br />-rainee: <br />LE✓1'1F'/-E <br />4. po80 <br />WIPMENT: PETRO TITE LINE TESTER <br />