Laserfiche WebLink
i <br /> 4162 nd Street Phone: (209)744-0112 LINE & LEAK DETECTOR <br /> f a �� Galt,Ca 95632 Fax: (209)744-0116 TEST REPORT <br /> a ffo rd a(aso ftc om.n et <br /> CONTRACTORIENGINEER <br /> SITE NAME:RIVER POINT LANDING TEST DATE 01-05-12 <br /> SITE ADDRESS 4950 BUCKLEY CLOVE WAY PHONE. (2Q9) 951 - 4144 <br /> CITY STOCKTON CA <br /> Repair/Construction LOCATION SKETCH Show North <br /> compliance ❑ Owners Request <br /> Insurance Escrow <br /> Other <br /> Make&Type of Pump or Dispenser <br /> REDJACKET <br /> Cover Over Lines <br /> CONCRETE I EARTH <br /> Approx Burial Depth <br /> 12 <br /> Weather <br /> SUNNY/COOL <br /> ® I Pressure Suction SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br /> Opening Test Leak I Element <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Metering Pass/ <br /> Product Key Number Seconds MLIMin. PSI PSI Fail <br /> A LD 2000 <br /> B LD 2000 E <br /> C FX I V <br /> D FXI DV <br /> E STPMLD <br /> F STPMLD — D <br /> G STPMLD — E <br /> H I STPMLD—DIE Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION <br /> Technician: Tests were made on the line systems as noted in accordance with test procedures <br /> prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> '-— 7 LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> PETRO-HTE CERT.#: CCA:020303281 IC DIESEL ®PASS ❑FAIL ❑INCONCLUSIVE -.0015 <br /> OTTL License#:08-1740 ❑PASS ❑FAIL INCONCLUSIVE <br /> Trainee: 87 EPASS ❑FAIL INCONCLUSIVE _.0005 <br /> ❑PASS El FAMM INCONCLUSIVE <br /> EQUIPMENT: PETRO TITE LINE TESTER ❑PASS LIFAIL INCONCLUSIVE <br />