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R <br /> ;} <br /> Afforda-Te$t <br /> 416 2nd Street - LEAK DETECT® <br /> Galt,California 95632 <br /> 209 744-0112 800 524-9087 FAX 209 744-0116 TEST REPORT <br /> Chi icer/Contractor/Eng- TEST DATE: `t ENVIRONMENTAL HEALTH AGENCY: <br /> 1 <br /> TE -NAME:(C Ito s�.�i;�)'1 cf t I i�t � s�� �• � 1� <br /> Present �Not Present <br /> I <br /> Phone: Zc` TECH SIGNATURE: <br /> INSPECTOR NAME: <br /> fl Aerator Name: C-pj")c,. OTTL # ICC 4 52F339FwT <br /> LEAK DETECTOR KEY <br /> A L 2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> P LD2000/E D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFO 10osi INFORMATION Calinsi to <br /> 5 <br /> a Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> fromabove) inseconds ML per Minute Holdina PSI "' Pass/Fail <br /> /F <br /> 1 z 5, <br /> P/F <br /> P— F <br /> P/F <br /> P/ <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />