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AFFORDA-TE$T 1 416 2nd Street Galt CA 956'^ LINE & LEAK DETECTOR <br /> (209) 744-0112 (209) 744-0116 Pm* TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE <br /> SITE NAME Lt e. ! !A� t l- j't PHONE <br /> ADDRESS yrC 'e W <br /> Compliance 1 LOCATION §KETCH <br /> Shaw North <br /> 'Repair/Construction <br /> Insurance <br /> P <br /> Escrow <br /> e& Type of Pump or Dispenser <br /> ✓ --t'r <br /> Cover Ov�r^Lines <br /> Approx Burial Depth d <br /> o f�F <br /> Weather <br /> f ' }'�'l n FKNOQ), <br /> yPressure Suction SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING t! PUMPS OR DISPENSERS <br /> Calibrated to 3 gph @ 10 psi FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 1 10 PSI <br /> LEAK DETECTOR KEY wisp#! LD Opening Leak Functional <br /> Time Rate Element MeteringU <br /> Product Key Serial Number Resiliency In Seconds AAMin Holding PSI PSI Pass 1 Fail <br /> A LD 2000 (- <br /> / 1'Gf P 1 F <br /> B LD 2000 E <br /> P / F <br /> D I FXI DV "qz) F <br /> P ! F <br /> E STPMLD. <br /> HI <br /> P f F <br /> F STPMLD- D <br /> P / F <br /> G STPMLD- E <br /> P f F <br /> H STPMLD-D/E Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION Tests were made on the line systems as noted in accordance with test procedures <br /> Technician:Lyle D. Nimmo 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 /> rl <br /> PETRflTITE CERT# PASS FAIL I INCONCLUSIVE <br /> 090993AO163 <br /> OTPL Lic#97-1143 PASS / FAIL / INCONCLUSIVE <br /> r' <br /> Trainee: PASS:/ FAIL / INCONCLUSIVE <br /> PASS / FAIL / INCONCLUSIVE <br /> ©UIPMENT:PETRO TITS LINE TESTER - <br />