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�,QT POB 36 26515 N. SACTO. BL LIME & LEAK DETECTOR <br /> AFFO"A- 1TL' $ 1 THORNTON, CA. 95686 TEST REPORT <br /> 209 794-0102 800 524-9087 <br /> CONTRACTOR/ENGINEER TEST DATE <br /> ORDERING TEST <br /> SITE ADDRESS OWNER I b <br /> / ADDRESS <br /> OPERATOR K. vla 1 a, �Ot h/l1 PSO 1—� <br /> PHONE PHONE <br /> STATION# IREASON FOR TEST P 7— <br /> LOCATION SKETCH nnw >Fn <br /> L1NE(S)ONLY e5 tbcK <br /> LINE(S)-LEAK DET. KK J- <br /> !1 J r <br /> vile <br /> TANK(S)-LINE(S)-LEAK DET <br /> TANK-LINE — — <br /> MAKE hTYPE OFPUMP <br /> VA UISPa eo <br /> COVEROVF.IS, _— <br /> NLIN 3ore 6 '� Oar <br /> APraor E�aln1. <br /> t <br /> WEAMER 1,01 <br /> —. – - _- <br /> PRESSURESUCTION EUOw Slums,ouwS,IANKS MAWS.PIPING it KNOWN. vnuPSOa IASPENSrxS <br /> [HE <br /> EAK DETECTOR FTA LEAK DETEC'T'OR TEST INFORMATION Calibrate <br /> 10 PSI <br /> No. LD Serial Opening Test FunctionalMetering Yes/ <br /> Krs Number Resiliency Time Leak Rate Element RSI No <br /> 71TFS: ProducT In Seconds ML/Min Holdin PSI <br /> XLD PIN 116036-5 oy �-,g7 /D Z7X17,?- <br /> /6 les <br /> PIN (XL 60 9-5DPLD P/N 116030-5 ,p- i71e N /D9Y Z767,Z- p7p Te f <br /> XLP P/N 116035-5 <br /> • DLD PIN 116017-5 <br /> F BFLD PIN 116012-5 <br /> OTHER <br /> Notes <br /> LINE TEST RESULTS <br /> CONTRACTOR 77S7S n 7iRF M1lA7)fC Uh'TffN,'1.lNli.g577O/S AS N07EU IN ACCO/iDAN('E 11'lT%!T'FST <br /> CERTIFICATION <br /> PRO 'EUI/IUCS I'l iS('!7ll)!!U 1•Yllt AS DF.7AIL FD ON 771E T'E.ST CIIART ON S'IOE 2 <br /> Of•'I7//S f•UlU/I 11171 REl'1/L1 S AS hCJL1.U11 S: <br /> OTH. LIC a 91.1143 LINE IDF.NTIFICA7'7ON NET VOLUME C' /SINGE PER HOUR <br /> PETROTITE CERT. #090993AO163 PASS FAIL / INCONCLUSIVE <br /> TrcHNICIAN VL 7. NIMMO PASS / FAIL / INCONCLUSIV <br /> SicNnn�RE / y PASS / FAIL / INCONCLUSIVE <br /> BIND P ;IRO=11'1'F. <br /> LINL IESIF. PASS / FAIL / INCONCLUSIVE <br />