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AFFORDA-TE$T POB 36 26515 N. sACTo. BL. LINE TEST <br />THORNTON, CA. 95686 REPORT <br />209 794-0102 800 524-9087 <br />FEATURING PETRO-TITE <br />LINE TESTER <br />STATION# ��) �- 0 fill �,(�'IQP JL%— TEST DATE <br />OWNER OPERATOR/ <br />NAME C'9 �) AL f I/fes MGR eo(p I )n Fi--4i A�7.fJ jr f I <br />1 -7d -n - i ct-b lc <br />rnvl�r.SITE <br />ADDRESS J14-7-1 V,hfW r <br />ADDRESS k <br />7 <br />CONTRACTOR/ENGINEER <br />ORDERING TEST <br />REASON FOR TEST <br />LINE(S) ONLY <br />LtNE(S) & LEAK DETECTOR(S) <br />MAKE & TYPE OF P (P ` <br />OR DISPENSER � 7-0 IClie- i <br />COVER OVER <br />APPROX BURIAL <br />nvani <br />OTTL LIC N 91-1143 <br />PETROTITE CERT. # 090993AO163 <br />TECHNIc1AN: LYLE D. NIMMO <br />/> ."' 'c�'4 , <br />y <br />TANK(S), LINE(S) & LEAK DETECTOR(S) <br />TANK & LINE <br />CH E� <br />A <br />TEST RESULTS <br />TESTS II7 RE AMDE ON 771E LINF, SYSTEUS AS NOTE!) IN AC'C ORDAMT Iran TF,S7' PROCEDURES PRESCRIBED R)R <br />AS DETAILED ON 771E 7EST ( 'HARTON SIDF 1 OF 7711S FORA 1 W1771 RESMS AS FULLOWS: <br />LINE IDENTIFICA TION N&l' VULUME F-HAMIZ rca nvUa <br />RH AG PAS / FAIL / INCONCLUSIVE <br />PASS / FAIL / INCONCLUSIVE _ <br />PASS / FAIL / INCONCLUSIVE <br />PASS / FAIL, / INCONCLUSIVE <br />