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Owner/Contractor/Eng: <br />416 2nd Street <br />Te,i)t.Galt, California 95632 <br />209 744-0112 800 524-9087 FAX 209 744-0116 <br />TEST DATE: O , Dnn l <br />1 1. <br />ENVIRONMENTAL HEALTH AGENCY: <br />SITE NAME:fit lot? iao <br />I <br />Phone: 0 c <br />O erator Name: e Nc. <br />ZCiri6 A. im0 <br />TECH SIGNATURE: <br />I OTTL # 04 67 ICC # 5263322 -UT <br />DCA <br />® Present <br />INSPECTOR NAME: <br />Gt <br />Not Present <br />1 <br />A LD2000 <br />LEAK DETECTOR KEY <br />C FE Petro STP -MLD <br />G Red Jacket FXIV <br />D LD2000/E <br />D FE Petro STP -MLD -E <br />H Red Jacket FXIVD <br />E FE Petro STP -MLD -D <br />F FE Petro STP -MLD -DE <br />J Other <br />FTA LEAK DETECTOR TEST INFORMATION <br />Calibratedto <br />Wpm <br />Dispenser Product <br />Number <br />LD Key <br />fiomabove <br />Serial # Resiliency Opening Test Leak Rate <br />Time <br />in seconds ML per Minute <br />C 1897-,-5 <br />Functional <br />Element <br />Holding PSI <br />2--7— <br />Metering PSI <br />12- <br />Pass/Fail <br />P/F <br />/F <br />p, <br />T�L <br />-1 D 15 Nol <br />il F <br />P/F <br />PIE <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />Q <br />