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Y013 36 26515 N. SACTO. BL, LINE'chi LEA D�ETE'CTO <br /> .w THORNTON, CA. 95686. TEST 1�® T <br /> 1 (209) 794-0102 800 524-908 <br /> CONTRACTOR/ENGINEER [TES' TDATE <br /> ORDERING TEST <br /> SITE: <br /> E: <br /> OPERATOR IrMA4e5 �/,� Station# .3 OWNER <br /> SITE ADDRESS 65 l-T ADDRESS <br /> 4AJ�EC d 0.4 ff.33 7 <br /> PHONE (,96e?) -157 - .j' S® PHONE <br /> REASON OR TEST LOCATION SKETCH eowtaonn <br /> LWE(3)ONLY ANK(s}LINE(s <br /> LINIE(s)-LEAK DET. <br /> T (s)-1ZM(s)-LEAK DET. <br /> NLAKE do TYPE OF PUMP <br /> OR DISPENSER t e �y �d <br /> COVEROVER O <br /> LUM C'DAJG - <br /> APPROX BURIAL 3 <br /> DEPTH �y <br /> cr <br /> WEATtIER V-01 S'g�1 <br /> PRE; SUCTTON SHOW SiREin,BLDCk TANKS,ISLANDS:PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> L DETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 10 PSI <br /> Na LD Serial Open' Test yes/ <br /> y TYPES: Piro& Number Resiliency Time Leak Rate Element PSI No <br /> In Seconds MLWin fLoldin PSI <br /> XLD P/N 116036-5 <br /> 6 <br /> MODEL <br /> PLD P/N 116030-5 <br /> P/N 116035-5 <br /> DLD P/N116017-5 <br /> BELD P/N 116012-5 <br /> OTHER <br /> Notes <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION M•-S7Ss�AlADEON TIIEMNESYSYIMSASN07EDENACCORDANCE,9M TEST <br /> PROCEDURESPRESCRIEED"AS DETAILED ON THE 7E'ST CHART ON SIDE 2 <br /> Technic' n OF77iISMRM ffMRESULTSASMLL01f'S: <br /> ----LINE IDENTIFICATIO NET VOLUME CMNGE PER HOUR <br /> /00 C-7 PASS ALL / INCONCLUSIVE pCj <br /> 'ETR6000TTL <br /> CERT# CAA0202112304R <br /> Lic#04-1676 PASS ,/ FAIL / INCONCLUSIVE <br /> trainee: PASS / FAIL, / INCONCLUSIVE <br /> EQUIPMENT: PETRO TITS LINE TESTER PASS../•.•FAIL, / INCONCLUSIVE <br />