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POB 36 26515 N. SACTO. BL. I LINE & LEAK DETECTOR <br />�kffarba-Tred THORNTON, CA. 95686 r)noTEST REPORT <br />»ae_nIm �Qnm a�e_on4� <br />CONTRACTOR/ENGINEER Af t <br />ORDERING TEST <br />SITE: <br />OPERATOR Station# <br />SITE ADDRESS <br />Y <br />PHONE Ca - - <br />TEST DATE ( r - -0 F-, cy <br />OWNER <br />ADDRESS <br />PHONE <br />REASON FOR TEST <br />w 40 r-5 6Y zf 0, Lt -e t - <br />LOCATION SKETCH <br />L 414RTF.Q. <br />—� <br />I <br />SHOW gm�LDO TAN ISLAND PIPING PUMPS OR DISPENSM 1 <br />LINE(s) ONLYTANK(s)-LINE( <br />LINE(s}LEAK DET. <br />TANK(S)-LMS)-LEAK DET. <br />MAKE & TYPE OF PUMP <br />OR DISPENSER �% �i( Z° J 1"q <br />COVER OVER <br />LDW <br />APPROx BURLAL <br />DEPTH <br />WEATHER V` <br />PRESSURB <br />SUCTION <br />LEAK DETECTOR <br />FTA LEAK DETE TOR TEST INFORMATION Calibrate <br />10 PSI <br />Y <br />TYPES• <br />No. <br />rLD <br />Serial <br />Number <br />Resiliency <br />Open <br />Time <br />In Seconds <br />Test <br />Leak Rate <br />ML/Min <br />unci ona <br />Element <br />Holdin PS <br />etering <br />PSI <br />yesE <br />No <br />Product <br />XLD P/N 116036-5 <br />B MODEL) <br />1603" - <br />PLD P/N 116030-5 <br />XLP P/N 116035-5 <br />DLD FIN116017-5 <br />BFLD PIN 116012-5 <br />OTHER <br />Notes <br />CONTRACTOR <br />CERTIFICATION <br />LINE TEST RESULTS <br />TESTS "FREMADE ON THELINE SYSTFMSASNOTED INACCORDANCE WITTY TEST <br />PROCEDURES PRESCRIBED FOR AS DETAILED ON THE TEST CHART ON SIDE 2 <br />OF THIS FORM WITHRESULTSASFULLO M <br />OTTL LIC M 91-1143 <br />PETROTTPE CERT. # 090993AO163 <br />TEcmcm- LYLE�D.�N( IMMO <br />SIGN"' , L kl� <br />LINE IDENTIFICATION NET VOLUME C ANGE PER HOUR <br />TEL r.y - PASS / FAIL / INCONCLUSIVE <br />- -' <br />PASS / FAIL / INCONCLUSIVE <br />PASS / FAIL / INCONCLUSIVE <br />FEATUIIJNG PETRO -ME <br />TESTER <br />PASS / FAIL / INCONCLUSIVE <br />