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POB 36 26515 N. SACTO. BL. LINE & LEAK DETECTOR <br />THORNTON, CA. 95686 TEST REPORT <br />209 794-0102 800 524-9087 <br />CONTRACTOR/ENGINEER TEST DATE—r - <br />ORDERING TEST Lu <br />SITE: 2003 <br />OPERATOR Station# OWNER <br />SITE ADDRESS ADDRESSvlr�� <br />PHONE - PHONE <br />REASON FOR TEST LOCATION SKETCH <br />LINRs) ONLY ANK(s)-LINE(s V, o) e / 03' J <br />LINRs}LEAK DET. <br />TANK(s)-LINE(s)-LEAK DET. <br />MAKE TYPE OF PUI� b )a lrlio�I P� &4f ` <br />OR DISPENSER <br />oENSER (}�� <br />APPROX BURIAL AR <br />DEPTH <br />WEATHER ' / j"V I <br />PRESSURE SUI <br />1 T I t) T T'TInT/1Iw/1� <br />l ! " <br />✓kmr-y <br />TTA I T A V nV9rVi d"9rnD WVQ9r 11%J1[7nDAA ATInN Calibrate <br />1.`,eu "MAc%,lvn - -.- _.._...--- -----_— ---- _..- -..... <br />10 PSI <br />No. LD Serial Opening <br />E tsE�r Number Resiliency Time <br />y MES. Product In Seconds <br />Test <br />Leak Rate <br />ML4 in <br />functionalBering <br />Element <br />Holdln PSI <br />PSI <br />Yes / <br />No <br />XLD P/N 116036-5� tiou� b �er qz <br />LINE IDENTIFICATION NET VOLUME C ANGE PER HOUR <br />PETRUTPf4CERT. # 090993AO163 <br />�' <br />BFLD (XL MODE <br />OfTL LIC N 9'1-1143 <br />C PLD P/N 116030-5��. <br />P FAIL / INCONCLUSIVE <br />T'"bmSign"ft" <br />XLP P/N 116035-5 <br />PAS / FAIL / INCONCLUSIVE <br />PO - L6 <br />FEATURING PETR TITE <br />DLD P/N116017-5 <br />- - . LINETESTER <br />PASS,. /,._FAIL / INCONCLUSIVE <br />BFLD P/N 116012-5 <br />OTHER / <br />HI f -Y_ I U 1 Notes <br />I <br />CONTRACTOR <br />LINE TEST RESULTS <br />CERTIFICATION <br />TESTS HEW MADE ON 771ELINE SYSTWSAS NOTED RV ACCORDANCE <br />PROCED URES PRESCRIBED FOR AS DETAILED ON THE TEST <br />OF7711SFORMHMIRESULTSASMLLOn. <br />WITH TEST <br />CHART ON SIDE 2 <br />TECf]MCI;tYLE . <br />�O <br />SIGNAnM {17` I <br />LINE IDENTIFICATION NET VOLUME C ANGE PER HOUR <br />PETRUTPf4CERT. # 090993AO163 <br />�' <br />(PASS)/ FAIL / INCONCLUSIVE <br />OfTL LIC N 9'1-1143 <br />7temeeNQne <br />P FAIL / INCONCLUSIVE <br />T'"bmSign"ft" <br />r --- <br />PAS / FAIL / INCONCLUSIVE <br />PO - L6 <br />FEATURING PETR TITE <br />- - . LINETESTER <br />PASS,. /,._FAIL / INCONCLUSIVE <br />