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11, <br />D <br />4-rorda- I e$t <br />I <br />Oa, ner/Contractor/E <br />Phone: <br />416 2nd Street <br />Galt, California 95632 <br />�(209) 744-0112, (800) 524-9087 FAX (2 <br />TEST DATE:Sr--�T- ()am <br />.i SIGNATURE: <br />OTTL # 08-1 <br />I M WRIPIN 11 BV <br />LEAK DETECTOR, <br />TEST REPORT <br />EN"RONNIENTAL HEALTH AGENCY: <br />Present = Not Present <br />NAME: <br />I FTA LEAK DETECTOR TEST I <br />Dispenser <br />Number <br />Product LD Key <br />(fi-ornabove) <br />P) <br />Serial # Resiliency <br />A LD2000 <br />C FE Petro STP -MLD <br />G Red Jacket FXIV <br />B LD2000/E <br />D FE Petro STP -MLD -E <br />H Red Jacket FXIVD <br />E FE Petro STP -MLD -D <br />PetroF FE STP-MLD-DE <br />�7— <br />i Other <br />I FTA LEAK DETECTOR TEST I <br />Dispenser <br />Number <br />Product LD Key <br />(fi-ornabove) <br />P) <br />Serial # Resiliency <br />Opening <br />Time <br />in seconds) <br />Test Leak Rate <br />ML per Minute <br />Functional <br />Element <br />Holding PSI <br />Metering PSI <br />Pass/Fail <br />PF'� <br />P/F <br />6D <br />Z18 <br />=9—, S3 <br />o <br />-�F P <br />P/F <br />-IbTT- <br />2-5 <br />Z-) <br />rP-'Y F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F,,, <br />P/F <br />