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4 <br />Afforda—Te'�t <br />Owner/Contractor/En : <br />SITE NAME: C;,!- t, -. -7 G <br />Site Addrcsse 33-Z C AQ (C <br />416 2nd Street <br />Galt, California 95632 <br />209 744-0112 800 524-9087 FAX 209 744-0116 <br />TEST DATE: <br />Lyle D. Nimnw <br />LEAK DETECTOR <br />TEST REPORT <br />ENVIRONMENTAL HEALTH AGENCY: <br />'�:-) ��r <br />® Present � Not Present <br />INSPECTOR NAME: �� o <br />Phone: TECH SIGNATURE:Ce <br />Operator Name: OTTL # 97-11 ICC# 5249115-UT <br />A LD2000 <br />LEAK DETECTOR KEY <br />C FE Petro STP-MLD <br />G Red Jacket FXIV <br />B 99LD2000 <br />D <br />FE Petro STP-MLD-E <br />H Red Jacket FXIVD► <br />E <br />FE Petro STP-MLD-D <br />F <br />FE Petro STP-MLD-DE <br />3 Other <br />FTA LEAK DETECTOR TEST INFORMATION Calibrated to <br />10 si <br />Dispenser Product LD Key Serial # Resiliency Opening Test Leak Rate <br />Number Time <br />fromabove inseconds MI a- to <br />I12,0 2 <br />Functional Metering PSI <br />Element <br />Holding PSI Pass/Fail <br />(0 2 P/F <br />P/F <br />i P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />