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Precision Line Tightness Test <br /> Data Chart for use with Petro Tite <br /> Facility: George Kishida Inc Test Date: 11/15/2019 <br /> Address: 1725 Ackerman Drive Test Company: B.Z. Service Station Maintenance— <br /> City: <br /> aintenanceCi : Lodi Address: 1041 Triangle Ct, West Sac,CA 95605 <br /> Conducted by: Rhome Desbiens <br /> License#: 04-1691 Signature: <br /> Petro Tite#: 3000010369 <br /> Is a tank test to be made with this line test? ❑ Yes ❑No <br /> Make and type of pump or dispensers Suction or Submersible): <br /> Weather: 1[7Temp in Tanks: *F *C <br /> Cover over lines: Burial Depth: <br /> Pressure Volume <br /> Identify Log of test procedures, <br /> Remarks: Size, <br /> Time Net length,&type of <br /> each line (Military) Ambient Temp, Psi or kpa Reading <br /> as tested Weather,Etc Change line,Flex <br /> connectors,Repairs <br /> Before After Before After <br /> DSL-2 1117 Start Line Test 50 .0580 2" fiberglass 50' <br /> DSL-2 1127 Continue Line Test 38 50 .0580 .0580 .0000 —� <br /> DSL-2 1137 Continue Line Test 45 50 .0580 .0570 .0010 --- � <br /> DSL-2 1147 Continue Line Test 48 50 .0570 .0570 .0000 <br /> DSL-2 1157 Continue Line Test 50 50 .0570 .0570 .0000 Line Test PASS <br /> oaoao _ <br /> DSL-1 1202 Start Line Test 50 .0600 2" fiberglass 50'� <br /> DSL-1 1212 Continue Line Test 49 50 .0600 .0590 .0010 I <br /> DSL-1 1222 Continue Line Test 50 50 .0590 .0590 .0000 <br /> DSL-1 1232 Continue Line Test 50 50 .0590 .0590 .0000 —� <br /> DSL-1 1242 Continue Line Test 50 50 .0590 .0590 .0000j Line Test PASS <br /> RECEIVED <br /> 3 r i 9 <br /> ENVIRONMENTAL HEALTH <br /> DTPA RThnFNT <br />