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W" -)v /-U.)Ij pq. q-, (v. til, LIIVP-' & LEAK DKIECTOR <br /> THORNTON, CA, 95686 <br /> (209) 794-0102 <br /> TEST REPORT <br /> -9 <br /> 087 <br /> -(800-)524 <br /> CONTRACTOR/ENGINEER -- TEST DATE <br /> ORDERING TEST <br /> SITE: <br /> OPERATOR / <br /> vp r i3c, 14 j1-1"yf ky q S t it(i 0 n# OWNER <br /> n# <br /> SITE ADDRESS q,?o --FEB 1 8 2OU4 <br /> ADDRESS <br /> NV;huNMENT HEAUH <br /> PHONE G;0 PHONE <br /> REASON F TEST j I LOCATION SKETCH rowINUMR <br /> T <br /> LINE(s)ONLY I tIANK(s)-LENE(s <br /> LINES)-LF-AK DET. <br /> I ITANK(s,)-LINE(s)-LEAK DET. <br /> MAKE&TYPE OF PUN� <br /> OR DISPENSER_ j <br /> C-C)VFR OVE%p <br /> DIMS <br /> APPROX BL (FR <br /> D= 15 <br /> V,TATIM,R ' Cool <br /> SWO <br /> PRES S CTION ls;jowsnHE'M,ULDdS,TANKS.ISLANDS:PIPING aFXNowNJ PUMPS OR DISPENSUS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 10 PSI <br /> No. LD Serial Opening Test Funcfiunal ering Yes <br /> Yq TYPES: Produ tvC=" Number Resiliency 7-1me Leak Rate Element PSI No <br /> In Secandi ML/Min oldin <br /> 4 XLDPIN 1166036-5 <br /> 'c <br /> 9 U' hun <br /> Element <br /> 'y i 'E -d <br /> i'"g fJI'd n PSI <br /> e <br /> jrdj <br /> BFLD (XL MO EL <br /> 116039-5 <br /> C PLD PIN 116030-5 <br /> 2 -c <br /> XLP P/N 116035-5 <br /> D PfN1 16917-5 <br /> IBFLD P/N 116012-5 <br /> Notes <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION TESTS H EREk 1ADE ON 771E LINE SYS72WS A S NO TFD LV A CCORDANCE W=TEST <br /> nc�macmm LYLE D. NIENIMMO PROCEDURES PRESCRIBED FOR AS DLMULED ON MF,TEST CHART ON=E 2 <br /> SIONATUM OF 7711S r0-RM 1117TIf RESULTEAS FULLOffS.- <br /> )NTRACTOP LINE IDENTIFICA TION <br /> n C <br /> F' AT'ON <br /> LYLE D- N <br /> NET VOL UME CHANGE PER HO UR <br /> CE T4� 5, <br /> PETROM.�E CERT. 4 09AD993AO163 <br /> r " _ <br /> OrTL LIC 14 91-1143 ( P SS ,)/ FAIL I INCONCLUSIVE <br /> Tn�nw 74 na PASS j FAIL I INCONCLUSIVE <br /> PASS FAIL / INCONCLUSIVE <br /> FEATURING <br /> PETRO-TYPE <br /> LINE TESTER PASS / FAIL / INCONCLUSIVE <br />