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POB 36 26515 N. SACTO. BL. LINE & LEAK DETECTOR <br /> Af farba—Zesf THORNTON, CA. 95686 TEST <br /> (209 794-0102 800 524-9087 REPORT <br /> CONTRACTOR/ENGiNEER TEST DATE - <br /> ORDERING TEST <br /> SITE: <br /> OPERATOR V ,Qi— c r ,KQStatinn# OWNER <br /> SITE ADDRESS 6j r /c, ADDRESS <br /> PHONE t qtr q "-f lf,44 PHONE <br /> REASON FOR TEST LOCATION SKETCH <br /> LiNE(s)ONLY 7-ANK(s)-LINE(s <br /> LIrM(s)-LEAK DET. <br /> TANK(s)-LDW(s}LEAK DET. <br /> MAKE do TYPE Or P[!MP <br /> ORDISPENSER YI`PtY+1 �� �. <br /> COVER OVER <br /> LINES h-d'�� "� <br /> APPROX BURIAL f <br /> DEPTH <br /> WEATHER / g r <br /> PRESSURE , SUCTION SIlOW STREETS,DLLXk TANKS,ISLANDS:PIPING(IF KNOWN).PUMPS OR DISPENSERS <br /> LE-4KDETEC'TOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 10 PSI <br /> No. LD Serial Opening TestT-01ding <br /> unction efering Yes/ <br /> E Number Resiliency Time Leak Rafelement PSI Na <br /> Y ��: Product 11n Seccnds MdlMinPSI <br /> 4 XLD PIN 116036-5 l �G? i G✓ <br /> BBFLD (XL 'L <br /> PfN116039-5 <br /> C PLD PIN 116030-5 -— <br /> X1.P PIN 116035-5 <br /> DLD PIN 116017-5 <br /> ,F BFLD PIN 116012-HNotes OTMR �q { <br /> T XI =17 <br /> 14 G ?', 171,4 r � <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION 'TESTS HERE MADE ON THE LINE SI STELfSAS NOTED INACCORDANCE Ii=TEST <br /> PROCEDURES PRESCRIBED FOR AS DET?IILED ON THE TEST CHART ON.SIDE2 <br /> rEelnci4rtlL LE.D. IITIIVIMU O�-Tr�rsrr�Rl�rFITrxrEsrrL7sASraLIOI�S: <br /> 6IQNATUR.6 i`/! � ',, l f' LINE IDENTIFICA TION - -- NET VOL UME C)YANGE PER HO UR <br /> PETR[}'p•.J-1T$_ CERT.#090993AO163 �,. ./PASSy ) FALL / INCONCLUSIVE <br /> OfTL LIC N 91-1143 <br /> Tminm N.ma PASS FAIL / INCONCLUSIVE , <br /> T�,asigmti" sv rp/' PASS FAIL / INCONCLUSIVE <br /> FEATURING PETR -TITE <br /> LINE TESTER Pr�SS / FAIL 1 INCONCLUSIVE <br />