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Tank number <br />LINE LEAK DETECTOR (LLD) TEST REPORT <br />TEST DATE: <br />September 21, 2012 <br />Al. FACILITY <br />A2. OWNER <br />Name <br />Quik Stop Market #148 <br />Leak Detector Type <br />Name Quik Stop Markets, Inc. <br />Address <br />205 W. Lockeford Street, Lodi, CA 95240 <br />Address 4567 Enterprise Street, Fremont, CA 94538 <br />Phone # <br />510-6574500 <br />VMI 89LD-2000 <br />Phone # 510.857-8500 <br />Contact <br />Michael Karvelot <br />Contact Michael Karvelot <br />A3. C U P A <br />28 <br />A4. TESTING CONTRACTOR <br />Name <br />San Joaquin County Environmental Health <br />Name Walton Engineering, Inc. <br />Address <br />1868 E. Hazelton Avenue, Stockton, CA 95202 <br />3.00 <br />Address P.O. Box 1025, W. Sacramento, CA 95691 <br />Notified <br />September 12, 2012 <br />Lic # 617238 A, B, Haz <br />Inspector <br />Aria Cacapit <br />Contact Dulcinea Covan <br />Phone # <br />20968-8257 <br />Length of Restriction Test (seconds) <br />Full Flow Opening time (seconds) <br />Phone # 916-373-1166 <br />30 <br />2 <br />I. LINE LEAK DETECTOR TEST RESULTS <br />TEST RESULT <br />Test Fauinment Used, Vanorless VMI LDT-890 <br />Tank number <br />3 <br />Product contained <br />Gasoline - 91 <br />Leak Detector Type <br />MLLD <br />Leak detector makelmodel <br />VMI 89LD-2000 <br />Serial number <br />5041328 <br />Functional Element Holding (psi) <br />28 <br />Resiliency (ml) <br />Test leak rate (gph) <br />65 <br />3.00 <br />Pump pressure (psi) <br />28 <br />Metering pressure (psi) <br />Pressure Restriction Reduction (psi) <br />16 <br />12 <br />Length of Restriction Test (seconds) <br />Full Flow Opening time (seconds) <br />30 <br />2 <br />TEST RESULT <br />PASS <br />Tank number <br />Product contained <br />Leak Detector Type <br />Leak detector make/model <br />Serial number <br />Functional Element Holding (psi) <br />Resiliency (ml) <br />Test leak rate (gph) <br />- -- <br />Pump pressure (psi) <br />j <br />Metering pressure (psi) <br />Pressure Restriction Reduction (psi) <br />Length of Restriction Test (seconds) <br />Full Flow Opening time (seconds) <br />ii TEST RESULT <br />J. COMMENTS: <br />WALT N <br />signSignature:W <br />ENGINEERING. INC. <br />Technician: Jessie Wadidn I B=91530788$JJT Date: Septealbw 21, 2012 <br />