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HECEIVED <br />JUL 0 3 2014 <br />FKI1110nnleAr!!h1-rA I <br />(1 <br />fford-T <br />............�. <br />4162 d Street Phone: (209) 744-0112 <br />Galt, Ca 95632 Fax: (209) 744-0116 <br />afforda@softcom.net <br />LINE & LLFKA bT9VROR <br />TEST REPORT <br />CONTRACTOR/ENGINEER <br />SITE NAME -.LOVES <br />SITE ADDRESS 1553 COLONY RD <br />CITY RIPON CA <br />TEST DATE 06-18-14 <br />PHONE �) - <br />® I Repair/Construction <br />LOCATION SKETCH Show North <br />❑ Compliance ❑ Owners Request <br />SHOW STREETS, BLDGS, TANKS, ISLANDS, PIPING (IF KNOWN), PUMPS OR DISPENSERS <br />❑ Insurance ❑ Escrow <br />❑ Other <br />Make & Type of Pump or Dispenser <br />PE PETRO <br />Cover Over Lines <br />CONCRETE <br />Approx Burial Depth <br />45' <br />Weather <br />SUNNY <br />® I Pressure I Suction ❑ <br />LEAK DETECTOR <br />Calibrate <br />FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br />KEY TYPES <br />No/ <br />Product <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 />Metering <br />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: <br />CONTRACTOR <br />CERTIFICATION <br />Technician: <br />Felix Ramirez <br />LINE TEST RESULTS <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 />PETROTITE CERT. #: CCA: 0203032811C <br />OTTL License #: 08-1740 <br />DIESEL ®PASS ❑FAIL ❑INCONCLUSIVE .0025 <br />❑PASS []FAIL ❑INCONCLUSIVE <br />Trainee: <br />❑PASS ❑FAIL ❑INCONCLUSIVE <br />❑PASS []FAIL ❑INCONCLUSIVE <br />EQUIPMENT: PETRO TITE LINE TESTER <br />❑PASS ❑FAIL ❑INCONCLUSIVE <br />