Laserfiche WebLink
416 2nd Street LEAK DETECTOR <br /> A ffo r d a-T e$ t Galt,California 95632 <br /> 209 744-0112 800 524-9087 F4�X\ 209 744-0116 TEST REPORT <br /> Owner/Contractor/En : TEST DATE: U T ENVIRONMENTAL HEALTH AGENCY: <br /> r� <br /> SITENA?NIE: ANCgc, SAN 1"IIEnaEt- i <br /> Site Address* (� L6 S, Zane A. NimM0 present Not Present <br /> Lonj;z <br /> af ('A 9sa-40 <br /> Phone: -7 65S—o l b I TECH SIGNATURE: INSPECTOR NAME <br /> 0 erator Name: I t-8Fo1LT OTTL � 04-1676 ICC# 5263322-UT <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B LD2000/E D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION Cal'orasi <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> fromabow) (inseconds) ML per Minute Holding PSI Pass/Fail <br /> 7 Gi -Dors 0? D49ke--( P F <br /> (Xc <br /> P/F <br /> �1 15 <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />