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<br /> <br />416 2nd Street Phone: (209) 744-0112 <br />Galt, Ca 95632 Fax: (209) 744-0116 <br />afforda@softcom.net <br /> <br /> <br />LINE & LEAK DETECTOR <br />TEST REPORT <br />CONTRACTOR/ENGINEER BAGLEY <br />SITE NAME:SAN JOAQUIN HOSPITAL – ENGINEERING PLANT <br /> <br />TEST DATE 08-12-2021 <br /> <br />SITE ADDRESS 500 W HOSPITAL RD <br /> <br /> <br />CITY STOCKTON CA 95321 <br /> <br /> <br /> <br />Repair/Construction LOCATION SKETCH Show North <br /> Compliance Owners Request <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />SHOW STREETS, BLDGS, TANKS, ISLANDS, PIPING (IF KNOWN), PUMPS OR DISPENSERS <br /> Insurance Escrow <br /> Other <br /> <br />Make & Type of Pump or Dispenser <br />RED JACKET / GENERATOR <br /> <br /> <br />Cover Over Lines <br />CONCRETE <br /> <br /> <br />Approx Burial Depth <br />2-3 FT <br /> <br /> <br />Weather <br />SUNNY <br /> Pressure Suction <br /> <br />LEAK DETECTOR <br /> <br />FTA LEAK DETECTOR TEST INFORMATION <br />Calibrate <br />10 PSI <br /> <br />KEY <br /> <br />TYPES <br /> <br />No/ <br />Product <br /> <br />LD <br />Key <br />Serial <br />Number <br />Resiliency <br />Opening <br />Time In <br />Seconds <br />Test Leak <br />Rate <br />ML/Min. <br />I Element <br />Holding <br />PSI <br /> <br />Metering <br />PSI <br /> <br />Pass/ <br />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 /> <br />CONTRACTOR <br />CERTIFICATION <br /> <br />LINE TEST RESULTS <br />Technician: <br />FELIX RAMIREZ <br />Tests were made on the line systems as noted in accordance with test procedures <br /> <br />prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> <br /> <br />LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> <br /> <br />PETROTITE CERT. #: CCA: 0203032811C <br />OTTL License #: 08-1740 <br />DIESEL PASS FAIL INCONCLUSIVE .0000 <br /> PASS FAIL INCONCLUSIVE <br />Trainee: <br />JOSH POWELL <br /> PASS FAIL INCONCLUSIVE <br /> PASS FAIL INCONCLUSIVE <br />EQUIPMENT: PETRO TITE LINE TESTER PASS FAIL INCONCLUSIVE