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fforda- ll t <br />4162nd Street Phone: (209) 744-0112 <br />Galt, Ca95632 Fax: (209) 744-0116 <br />affords@softcom.net <br />LINE & LEAK DETECTOR <br />TEST REPORT <br />CONTRACTOR/ENGINEER ABLE <br />SITE NAME:TIWANA GAS TEST DATE 08-16-18 <br />SITE ADDRESS 1210E HAMMER LANE PHONE () - <br />CITY STOCKTON CA 95213 <br />Repair/Construction <br />LOCATION SKETCH Show North <br />❑ Compliance ❑ Owners Request <br />yy <br />RECEIN/tu <br />SEP 12 2018 <br />ENVIRONMENTAL <br />HEALTHf)FPARTMENT <br />SHOW STREETS, BLOGS, TANKS, ISLANDS, PIPING (IF KNOWN), PUMPS OR DISPENSERS <br />Insurance ❑ Escrow <br />Other <br />Make & Type of Pump or Dispenser <br />REDJACKET <br />Cover Over Lines <br />CONCRETE <br />Approx Burial Depth <br />3-5 FEET <br />Weather <br />SUNNY <br />Pressure Suction <br />LEAK DETECTOR <br />Calibrate <br />FTA LEAK DETECTOR TEST INFORMATION t0 PSI <br />KEY <br />TYPES <br />No/ <br />Product <br />LD <br />Key <br />Serial <br />Number <br />Resiliency <br />Opening <br />Time In <br />Seconds <br />Test Leak <br />Rate <br />ML/Min. <br />I Element <br />Holding <br />PSI <br />Metering <br />PSI <br />Pass/ <br />Fail <br />A <br />LD 2000 <br />91 <br />C <br />150 <br />4 <br />189/1 <br />24 <br />22 <br />PASS <br />B <br />LD 2000 E <br />C <br />FXI V <br />D <br />FXI DV <br />E <br />STPMLD <br />F <br />STPMLD — D <br />G <br />STPMLD — E <br />H <br />STPMLD—D/E <br />Notes: <br />CONTRACTOR <br />CERTIFICATION <br />Technician: <br />Felix Ramirez <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 />PETROTITE CERT.#: CCA: 0203032811C <br />OTTL License #:08-1740 <br />91 OCT ®PASS ❑FAIL ❑INCONCLUSIVE .0000 <br />[]PASS ❑FAIL []INCONCLUSIVE <br />Trainee: <br />❑PASS ❑FAIL ❑INCONCLUSIVE <br />❑PASS ❑FAIL ❑INCONCLUSIVE <br />EQUIPMENT: PETRO TITS LME TESTER <br />[]PASS ❑FAIL ❑INCONCLUSIVE <br />