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fforda-Te t 416 2 Street Phone: (209)744-0112 LINE & LEAK DETECTOR <br /> Galt,Ca 95632 Fax: (209)744-0116 TEST REPORT <br /> afforda@softcom.net <br /> CONTRACTOR/ENGINEER TEST DATE 1/22/2021 <br /> SITE: RIVER POINT LANDING <br /> 4950 BUCKLEY COVE WAY STOCKTON, CA 95219 <br /> ❑ Repair/Construction LOCATION SKETCH Show North <br /> ® Compliance ® Owners Request <br /> ® Insurance ❑ EScrOW SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> ❑ Other <br /> Make&Type of Pump or Dispenser <br /> RED JACKET/ TOHKEIM <br /> Cover Over Lines <br /> ASPHALT, DOCK EXPOSED <br /> Approx Burial Depth <br /> 2 FEET <br /> Weather <br /> PARTLY CLOUDY,RAIN <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 I LD 2000 E 89 E 300 6 189 / 1 23 12 PASS <br /> C FXI V <br /> D FXI DV DSL B 100 4 189 / 1 26 21 PASS <br /> E STPMLD <br /> F STPMLD — D <br /> G STPMLD — E <br /> H I STPMLD—D/E Notes: <br /> CONTRACTOR <br /> CERTIFICATION LINE TEST RESULTS <br /> Technician: Tests were made on the line systems as noted in accordance with test procedures <br /> ZANE NIMMO 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 /> OTTL License#: 04-1676 <br /> PETROTITE CERT. [-]PASS ❑FAIL ❑INCONCLUSIVE <br /> #:CCA0202112304R 87 OCTANE .0000 <br /> ICC# 5263322 UT ®PASS [—]FAIL INCONCLUSIVE <br /> Trainee:EVAN NELSON ❑PASS ❑FAIL ❑INCONCLUSIVE <br /> DIESEL 2 ®PASS ❑FAIL ❑INCONCLUSIVE .0000 <br /> EQUIPMENT: PETRO TITE LINE [-]PASS ❑FAIL ❑INCONCLUSIVE <br /> TESTER <br /> Notes: <br />