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CONTRACTOR/ENGINEER <br />SITE NAME <br />ADDRESS <br />C6UIf-- <br />Compliance <br />Repair/Construction <br />Insurance <br />Escrow <br />e & Type of Pump or Dispenser <br />GGni' 10'� r^ 0, 0) <br />ar Over Lines <br />Approx Burial Depth <br />"7 / Y <br />416 2nd Street Gait CA 956"—" LINE & LEAK DETECTOR <br />(209) 744-0112 (209) 744-0116W TEST <br />REPORT <br />5";--// <br />LOCATION SKETCH <br />,( Pressure Suction SHov <br />'alibrated to 3 gph @ 10 psi <br />LEAK DETECTOR KEY Disp1 LD <br />Product Key <br />A LD 2000 <br />B LD 2000 E <br />C FXI V <br />D FXI DV <br />E STPMLD <br />F STPMLD - D <br />G STPMLD - E <br />H STPMLD - D/E <br />CONTRACTOR <br />CERTIFICATION <br />rechnician: Lyle D. Nim <br />3ETROTITE CERT# <br />)90993AO163 <br />)TTL Lie# ®• �h�3 <br />Frainee: <br />TEST DATE` ® 7 <br />PHONE( O/ �}l <br />snow North <br />� <br />v� V� J- <br />i <br />I STREETS, BLDGS, TANKS, ISLANDS, PIPING (IF KNOWN), PUMPS OR DISPENSERS Ic <br />41,J F7 14 (* <br />FTA LEAK DETECTOR TEST INFORMATION Calibrate <br />10 PSI <br />Opening Leak Functional <br />Time Rate Element Metering <br />Serial Number Resiliency In Seconds ML/Min Holding PSI PSI Pass / Fa <br />P / F <br />P / F <br />P / F <br />P / F <br />P / F <br />P / F <br />P / F <br />Notes: <br />LINE TEST RESULTS <br />Tests were made on the line systems as noted in accordance with test procedures <br />prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br />LINE IDENTIFICATION NET VOLUME CHANGE <br />�t t VAS _ FAIL / INCON _► SIVE p o3G <br />h P,4SS/, FAIL / INCONCLUSIVE <br />PASS,.= FAIL / INCONCLUSIVE <br />PASS / FAIL / INCONCLUSIVE <br />f7 <br />