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,�k#faxbtt-Tesf <br />CONTRACTOR/ENGINEER <br />ORDERING TEST <br />POB 36 26515 N. SACTO. BL. L17T & LEAK DETECTOR <br />THORNTON, CA. 95686 TEST REPORT <br />209 794-0102 800 524-9087 <br />TEST DATE / — / Z — Z V -- <br />SITE: G -re w715 LAS * L; �,d a/ <br />OPERATOR Station# <br />OWNER IFIL G2I�At. <br />SITE ADDRESS `itou E Fre r,, nA- SJ. <br />ADDRESS <br />ANK(s}LINE(s <br />LINE(s)-LEAK DET. <br />PHONE ( ZJ5 ) N63 S ZSy <br />PHONE ' <br />REASON FOR TEST <br />tI t 1� TE 5T <br />LOCATION SKETCII <br />SHOW SIREEtS 0LU05 LANK ISLAND ' PIPINO F KNOWN PUMPS OR DISPENSERS <br />LINE(s) ONLY <br />ANK(s}LINE(s <br />LINE(s)-LEAK DET. <br />TANK(s}LINRS)-LEAK DET. <br />MARE k TYPE OF FUW <br />ORDMI ENEER- <br />COVER OVER <br />LDW CQNGaF7k <br />APPROx BURIAL <br />DEPTx <br />WEATMZR QLA Q D <br />PRESSURE <br />FR <br />SUCTION M <br />I <br />LEAK DETECTOR <br />FTA LEAK DETECTOR TEST INFORMATION Caiibrs" <br />10 PSI <br />ICNumber <br />y <br />TYPES. <br />No. LD <br />Serial <br />Resiliency <br />Open <br />71me <br />Seconds <br />Test <br />Leak Rate <br />FunctionalMel <br />Element <br />Nolte RSI <br />g <br />ASl <br />Yea / <br />No <br />R'odud K"In <br />XLD P/N 116036-5 <br />87 <br />f <br />2- <br />l <br />.2 <br />rc-!5 <br />PM fufn& <br />PLD P/N 116030-5 <br />2 92 6 <br />= 3 <br />j <br />2 <br />XLP P/N 116035-5 <br />DLD PR4116017-5 <br />3 N C <br />C ID50 <br />IrI6 <br />Z% <br />Zb <br />Yf-5 <br />MILD P/N 116012-5 <br />On= <br />Notes <br />TRA <br />CONCTOR. <br />CERTIFICATION <br />LINE TEST RESULTS <br />TEM 0FMAMDEON771ELNESYS7WSASNO7EDBVACCORDANCEWMI ?EST <br />PRWEDURES PRESCRIBED POR AS DETAILED Off THE TEST CHART ON SIDE 2 <br />OF771ISFOPM IMII ASPO <br />TECUMCIArI: LE pVIMO <br />aanAT�s <br />LINE IDENTIFICATION NET VOLUME CJL4NGE <br />PER HOUR <br />PLTR CERT: 0 09W93A0163 <br />O/TL LIC K 17-1143 <br />PASS / FAIL / INCONCLUSIVE <br />PASS / FAIL / INCONCLUSIVE <br />Tnbw ftnem <br />PASS / FAIL / INCONCLUSIVE <br />"ATUMNO PETRO -TITS <br />IIMTEMA <br />PASS / FAIL / INCONCLUSIVE <br />