Laserfiche WebLink
r <br />jOAM <br />Avf —f® ite <br />416 2nd Street Phone: <br />Gait, Ca 95632 Fal: <br />afforda@softcom.net <br />(209) 744-0112 <br />(209) 744-0116 <br />I <br />LINE & LEAK DETECTOR <br />TEST REPORT <br />CONTRACTOR/ENGINEER TEST DATE 11 / 10 / 10 <br />SITE NAME KISHIDA TRUCKING PHONE <br />SITE ADDRESS 1725 ACKERMAN DR. CITY LODI CA 95240 <br />Repair/Construction LOCATION SKETCH show North <br />® Compliance <br />SHOW STREETS, BLDGS, TANKS, ISLANDS, PIPING (IF KNOWN), PUMPS OR DISPENSERS <br />FTA LEAK DETE6TOR TEST INFORMATION <br />I <br />Calibrate <br />10 PSI <br />Insurance <br />Escrow <br />Make & Type of Pump or Dispenser <br />RED JACKET & TOHKEIM <br />Cover Over Lines <br />CONCRETE <br />Approx Burial Depth <br />3-4 FT <br />Weather <br />CLEAR, COOL <br />® Pressure Suction <br />LEAK DETECTOR <br />KEY 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 LD 2000 <br />N DIE <br />D <br />65 <br />4 <br />189/3 <br />13 <br />11 <br />PASS <br />B LD 2000 E <br />C FXI V <br />S DIE <br />D <br />90 <br />4 <br />189/3 <br />15 <br />11 <br />PASS <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'j <br />Technician: <br />ZANE NIMMO <br />i' <br />LIME TEST RESULTS <br />Tests were made on the line, systems as noted in accordance with test procedures <br />prescribed for as detailed on thtest chart on Side 2 of this form with results as follows: <br />LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br />PETROTITE CERT. #: CCA: 0202112304R <br />OTTL License #: 04-1676 <br />N. DIESEL <br />PASS FAIL❑ INCONCLUSIVE❑ <br />.0000 <br />PASS FAILU INCONCLUSIVE <br />Trainee: <br />S. DIESEL <br />PASS FAIL❑ INCONCLUSIVE <br />.0000 <br />PASS FAIL[]INCONCLUSIVE❑ <br />EQUIPMENT: PETRO TITE LINE TESTER <br />