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POB 36 26515 N. SACTO. BL. /NE & LEAKDETECTOR <br /> ffaxb'a- -cft THORNTON, c 95686 TEST REPORT <br /> 1 (2.9) 794-0102 88 00 524-9087 <br /> CONTRACTOR/ENGINEER �� TEST DATE / d� <br /> ORDERING TEST <br /> SITE: <br /> OPERATOR Station# OWNER <br /> SITE ADDRESSOO l� I fC'p f ;< ' ._ ADDRESS <br /> PHONE — PHONE <br /> R"SON FOR TEST ' LOCATION SKETCH WNOR <br /> tLINE(S)ONLY _ftANK(s}LINE(s <br /> LINE(s)-LEAK DET. <br /> >4 TANK(s)-LINE(s}LEAK DET. <br /> MARE R TYPE OFFtW, <br /> OR DMENSERCOVER OVER <br /> LWFB C <br /> LLy <br /> APPROX BURIAL <br /> DEPTH <br /> WEATHER <br /> PRESSURE X SUCTION F-I SNOW STREiIS.BLDdS.TANK&ISLANDS'PIPING(IF KNOWNI PUMPS OR DISPENSERS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 10 PSI <br /> No. LD Serial Openin Test unctio971 'Yes/ <br /> Y1 TYPES: Product IaT Number Resiliency rime Leak Rate ElemeNo <br /> !n Secoedr MLMAn Holdin XLD P/N 116036-5BFLD (XL MODEL <br /> 'S <br /> PIN 6 <br /> C PLD P/N 116030-5 <br /> XLP P/N 116035-5 <br /> DLD P/N116017-5 <br /> BFLD P/N 116012-5 <br /> orxsR <br /> Notes <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION TESTS HEREAIADE ON 771ELJNE SMEWSAS NOTED W ACCORDANCE WITH TEST <br /> PROCEDURESPRESMBED FOR AS DETAILED ON THE TEST CHART ON SME2 <br /> TEclumclAN: LYLE D.NIMMO OFMISMW nTTNRESULTEASFOLLORS.• <br /> SIONATVRS <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> PETROTITE CERT.#090993AO163 rY\ L_ i PASS-,,/ FAQ. / INCONCLUSIVE <br /> O1TL LIC N 9_I-1143 _ <br /> mN.e /J �j -'h s� PASS � FAIL / INCONCLUSIVE C�C <br /> PASS /)/ FAIL / INCONCLUSIVE -t- <br /> FEATURINGPETR TILE ' <br /> UNETESTER PASS_./__.FAIL / INCONCLUSIVE <br />