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11 <br />C7 <br />AM"t <br />ww.wu,,,afforda@softcom.net <br />4162 "d Street Phone: (209) 744-0112 <br />Galt, Ca 95632 Fax: (209) 744-0116 <br />.LINE & LEAK DETECTOR <br />TEST REPORT <br />CONTRACTOR/ENGINEER <br />SITE NAME:KISHIDA TRUCKING <br />SITE ADDRESS 1725 ACKERMAN <br />CITY LODI CA <br />TEST DATE 11-15-11 <br />PHONE (_) - <br />❑ Repair/Construction <br />LOCATION SKETCH Show North <br />Compliance ❑ Owners Request <br />SHOW STREETS, BLDGS, TANKS ISLANDS, PIPING IF KNOWN), PUMPS OR DISPENSERS <br />Insurance Lj Escrow <br />Other <br />Make & Type of Pump or Dispenser <br />RED JACKET <br />Cover Over Lines <br />CONCRETE <br />Approx Burial Depth <br />48' <br />Weather <br />SUNNY <br />Pressure <br />Suction <br />LEAK DETECTOR <br />Calibrate <br />FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br />KEY TYPES <br />No/ <br />Product <br />LD <br />Key <br />Serial <br />Number <br />Opening <br />Resiliency Time In <br />Seconds <br />Test Leak I Element <br />Rate Holding <br />ML/Min. PSI <br />Metering <br />PSI <br />Pass/ <br />Fall <br />A LD 2000 <br />B LD 2000 E <br />C FXI V <br />D FXI DV <br />E STPMLD <br />F STPMLD — D <br />G STPMLD — E <br />H 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 />described 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: 020303281 IC <br />OTTL License #: 08-1740 <br />DIESEL T1 ®PASS ❑FAIL ❑INCONCLUSIVE -.0010 <br />❑PASS FAIL DINCONCLUSIVE <br />Trainee: <br />DIESEL T2 ZPASS FAIL INCONCLUSIVE -.0005 <br />PASS FAIL EIINCONCLUSIVE <br />EQUIPMENT: PETRO TITE LINE TESTER I <br />I ❑PASS ❑FAIL INCONCLUSIVE <br />