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M <br />416 2nd Street <br />Afforda—Te$t Galt, California 95632 <br />209 744-0112 800 524-9087 FAX 2 <br />Owner/Contractor/Eng: TEST DATE: <br />SITE NAME: J�,,k U 0 Ab `' jJ11),4 ,4 <br />ENVIRONMENTAL HEALTH AGENCY: <br />P/F <br />P/F <br />Lyle D. Nutt <br />Present <br />Not Present <br />pp <br />Phone: <br />— <br />TECH <br />SIGNATURE:j <br />INSPECTOR NAME: <br />O erator Name: M eIn f -.Q (i <br />OTTL # 97-11& ICC# 5249115 -UT <br />LEAK. DETECTOR KEY <br />A LD2000 <br />C <br />FE Petro STP -MLD <br />G Red Jacket FXIV <br />B <br />99LD2000 <br />D <br />FE Petro STP -MLD -E <br />H Red Jacket FXIVD <br />E <br />FE Petro STP -MLD -D <br />F <br />FE Petro STP -MLD -DE <br />J Other <br />FTA LEAK DETECTOR TEST INFORMATION <br />Cal orasi <br />Dispenser Product LD Key <br />Serial # <br />Resiliency Opening Test Leak Rate <br />Functional <br />Metering PSI <br />Number <br />Time <br />Element <br />Pass/Fail <br />fromabove <br />inseconds Ml erMinute <br />Holding PSI <br />t <br />2,Z <br />o2--- <br />P <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />