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MOW <br /> fforda�-T� 4162nd Street Phone: (209)744-0112 LINE & LEAK DETECTOR <br /> Galt,Ca 95632 Fax: (209)744-0116 TEST REPORT <br /> afforda@softcom.net <br /> CONTRACTOR/ENGINEER TEST <br /> SITE: RIVER POINT LANDING <br /> 4950 BUCKLEY COVE WAY FEB 17 2011 <br /> STOCKTON, CA 95219 <br /> ENVIRONMENTAL HEALTH <br /> Repair/Construction LOCATION SKETCH PRM sfaqVICES <br /> ® Compliance Owners Request <br /> >E] Insurance ❑ Escrow SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> Q Other <br /> Make&Type of Pump or DispenserRED f� <br /> JACKET , TOHKEIM DIE iLJI <br /> Cover Over Lines CONCRETE <br /> (J E <br /> Approx Burial Depth2 ET 89 <br /> weatherCOLD , OVERCAST FE CA <br /> Pressure ® Suction I F <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 89 E 1 1300 32 18913 25 14 PASS <br /> C FXI V <br /> D FXI DV R DIE F 150 13 18913 15 14 PASS <br /> E STPMLD <br /> F STPMLD — D <br /> G STPMLD — E <br /> H 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 /> Zane A.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 /> PETROTITE CERT,#:CCA0202112304R ❑PASS [--]FAIL ❑INCONCLUSIVE <br /> ]CC# 5263322 UT 89 OCT ®PASS ❑FAIL ❑INCONCLUSIVE -.0040 <br /> OTTL License#: 04-1676 <br /> Trainee: RED DIESEL ®PASS []FAIL ❑INCONCLUSIVE +1-.0000 <br /> [--]PASS [--]FAIL []INCONCLUSIVE <br /> HQUIPMENT: PETRO TITE LINE TESTER ❑PASS [--]FAIL [--]INCONCLUSIVE <br /> C- L-4-1v <br />