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HEUENED <br />JUL 0 3 2014 <br />���� t <br />...,._......,,,,..,,..,,,,.,.,_ <br />4162 "d Street Phone: (209) 744-0112 <br />Gait, Ca 95632 Fax: (209) 744-0116 <br />afforda@softcom.net <br />pEAK�TETEC�OR <br />LINE & L <br />TEST REPORT <br />CONTRACTOR/ENGINEER <br />SITE NAME:LOVES <br />SITE ADDRESS 1553 COLONY RD <br />CITY RIPON CA <br />TEST DATE 06-03-14 <br />PHONE �) - <br />® Repair/Construction <br />LOCATION SKETCH snow Nortn <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 SUcuon ❑ <br />LEAK DETECTOR <br />Calibrate <br />FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br />KEY <br />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 <br />LD 2000 <br />B <br />LD 2000 E <br />C <br />FXI V <br />D <br />FXI DV <br />E <br />STPMLD <br />F <br />STPMLD - D <br />G <br />STPMLD - E <br />H <br />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 />OTTLLicense #:08-1740 <br />DIESEL, ®PASS ❑FAIL ❑INCONCLUSIVE .0030 <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 />