Laserfiche WebLink
fforda Tet 4162"d street Phone : (209) 744-0112 LINE & LEAK DETECTOR <br /> Galt, Ca 95632 Fax : (209) 744-0116 <br /> TEST REPORT <br /> afforda@softeom .net <br /> CONTRACTOR/ENGINEER TEST DATE 3/22/2019 <br /> SITE : RUPI - WATERLOO FOOD MART <br /> 4315 E WATERLOO RD <br /> STOCKTON , CA 95215 <br /> ® Repair/Construction LOCATION SKETCH Show North <br /> Compliance ❑ Owners Request <br /> Insurance ESCfOW SHOW STREETS , BLDGS , TANKS , ISLANDS , PIPING (IF KNOWN), PUMPS OR DISPENSERS <br /> ,. <br /> Other <br /> Make & Type of Pump or Dispenser C 101g \ <br /> FE PETRO <br /> Cover Over Lines <br /> CONCRETE X14010 <br /> Approx Burial Depth )W*%w A&4 <br /> 3 FT . 01F. <br /> Weather <br /> COOL <br /> Pressure ® Suction <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br /> Opening Test Leak I Element <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Metering Pass/ <br /> Product Key Number Seconds ML/Min. PSI PSI Fail <br /> A LD 2000 <br /> B LD 2000 E <br /> C FXI V <br /> D FXI DV <br /> E STPMLD <br /> F STPMLD - D <br /> G STPMLD - E <br /> H STPMLD—D/E Notes : <br /> CONTRACTOR <br /> CERTIFICATION LINE TEST RESULTS <br /> j Technician : Tests were made on the line systems as noted in accordance with test procedures <br /> DAVE WINKLER prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> PETROTITE CERT. ❑ PASS ❑ FAIL ❑INCONCLUSIVE <br /> # : CCA0202112304R 87 OCT . 0000 <br /> ICC# 8883059 -UT ® PASS ❑ FAIL ❑ INCONCLUSIVE <br /> OTTL License #: <br /> Trainee : 91 OCT NPASS ❑ FAIL ❑ INCONCLUSIVE . 0000 <br /> PASS ❑ FAIL ❑ INCONCLUSIVE <br /> EQUIPMENT: PETRO TITE LINE ❑ PASS ❑ FAIL ❑ INCONCLUSIVE <br /> TESTER <br />