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fforda-Te t <br />4162°d 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 <br />SITE: TRACY TRUCK STOP <br />3940 N. TRACY BLVD <br />TRACY, CA 95304 <br />TEST DATE 10/12/2017 <br />❑ Repair/Construction <br />LOCATION SKETCH Show Norm <br />® Compliance ® Owners Request <br />SHOW STREETS, BLDGS, TANKS, ISLANDS, PIPING (IF NSERS <br />R�COVED <br />OCT 2 3 2017 <br />ENVIRONMENTAL HEALTH <br />.DEPARTMENT <br />❑ Insurance ❑ Escrow <br />® Other PREVENTATIVE <br />Make & Type of Pump or Dispenser <br />F. E. PETRO <br />Cover Over Lines <br />CONCRETE <br />Approx Burial Depth <br />2 - 4 FEET <br />Weather <br />SUNNY, BREEZY, MILD <br />Pressure ® Suction <br />LEAK DETECTOR <br />FTA LEAK DETECTOR TEST INFORMATION <br />Calibrate <br />10 PSI <br />KEY TYPES <br />Opening <br />No/ LD Serial Resiliency Time In <br />Product Key Number Seconds <br />Test Leak I Element <br />Rate Holding Metering <br />MUMin. PSI PSI <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 <br />Notes:NO LEAK DETECTOR IN AST SIDE OF PRODUCT PIPING <br />CONTRACTOR <br />CERTIFICATION <br />LINE TEST RESULTS <br />Technician: <br />Zane A.Nimmo <br />Tests were made on the line systems as noted in accordance with test procedures <br />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. <br />#:CCA0202112304R <br />ICC# 5263322 UT <br />❑PASS [-]FAIL ❑INCONCLUSIVE <br />DIESEL - AST -.0060 <br />®PASS ❑FAIL [_1 INCONCLUSIVE <br />Trainee:SHAN REED <br />❑PASS ❑FAIL ❑ INCONCLUSIVE <br />❑PASS [-]FAIL ❑ INCONCLUSIVE <br />EQUIPMENT: PETRO TITE LINE <br />TESTER <br />[-]PASS [-]FAIL ❑ INCONCLUSIVE <br />Notes:TESTING FOR SITE <br />