Laserfiche WebLink
POB 36 26515 N. SACTO. BL. NE & LEAK DETECTOR <br />,. THORNTON, CA. 95686. TEST REPORT <br />209 794-0102 800 524-9057,4. <br />, r <br />..._ ._ F •' <br />CONTRACTOR/ENGINEER `I`il' I)Pi�l►'k��F `- <br />ORDERING TEST wa At in I n .,.. . <br />REASON FOR TEST <br />r7L1[f 4r-( /—�p <br />LINE(s) ONLY ANK(s}LINE(s <br />Lw&s)-LEAK DET. <br />DET. <br />MAKE do TYPE OF PUMI <br />OR DISPENSER <br />COVER OVER <br />L1NE3 � e-�� �-•. �� <br />APPROX BURIAL ^s. <br />DEPTH 4" <br />WEATHER ./r`- 1"" I <br />LOCATION SKETCH <br />PRESSURE � SUCTION1. <br />SHOW srRIIsrs. HLDCiS. TANKS ISLAND ' PIPING F KNOWN PUMPS OR DISPIINSIIRS <br />FTA LEAK DETECTOR TEST INFORMATION Calibrate <br />LEAK DETECTOR 10 PRI <br />No. LD Serial <br />E Icer Number <br />y TYPES. Product <br />—_.,�,. u X17 �•JD <br />SITE: Z7,o ccs ami /i t <br />Test <br />Leak Rate <br />MLMen <br />OPERATORSq�h.Station# <br />OWNER <br />SITE ADDRESS yds- JQ vj,4... 4,Py- <br />ADDRESS <br />C� <br />PHONE - <br />PHONE <br />REASON FOR TEST <br />r7L1[f 4r-( /—�p <br />LINE(s) ONLY ANK(s}LINE(s <br />Lw&s)-LEAK DET. <br />DET. <br />MAKE do TYPE OF PUMI <br />OR DISPENSER <br />COVER OVER <br />L1NE3 � e-�� �-•. �� <br />APPROX BURIAL ^s. <br />DEPTH 4" <br />WEATHER ./r`- 1"" I <br />LOCATION SKETCH <br />PRESSURE � SUCTION1. <br />SHOW srRIIsrs. HLDCiS. TANKS ISLAND ' PIPING F KNOWN PUMPS OR DISPIINSIIRS <br />FTA LEAK DETECTOR TEST INFORMATION Calibrate <br />LEAK DETECTOR 10 PRI <br />No. LD Serial <br />E Icer Number <br />y TYPES. Product <br />Resiliency <br />Opening <br />Time <br />In Seconds <br />Test <br />Leak Rate <br />MLMen <br />uncdona <br />Element <br />Holdin PSI <br />Bering <br />PSI <br />Yes / <br />No <br />XLD P/N 116036-5 0 <br />BFL.D (XL MODEL <br />116039-5 <br />C PLD P/N 116030-5 <br />XLP P/N 116035-5 <br />DLD PINI 16017-5 <br />BFLD P/N 116012-5 <br />OTHER <br />Notes <br />C <br />ONTRACTOR. LINE TEST RESULTS <br />FICATION TESISHEREA�ADE ON 7HELINE SYSTFMSASNOTED INACCORDANCE WTM TEST <br />PROCEDURES PRESCRIBED FOR AS DETAILED ON THE TEST CHART ON SIDE 2 <br />YLE D. NIMMO of airs FC7RM IlTrli RESULTSASFt�LLOI15: <br />LINE IDENTIFICATIONNET VOLUMEC ANGE PER HOUR <br />ERT. # 090993AO163 �� PASS / FAIL / INCONCLUSIVE �C <br />OfTL LIC N "-1143 q <br />Trainee Nano / ,( �. PASS / FAIL / INCONCLUSIVE ew16 <br />TmmeeS9gn.c,ue j=' PASS / FAIL / INCONCLUSIVE r 7/ <br />FEATURING PETR TE <br />I.INFTRSTF.R PASS / FAIL / INCONCLUSIVE _ <br />