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PDB 36 26515 N. <br /> SACTOB. <br /> L. LIVE& LEAK DE <br /> TECTORTHOTDN, A. 6Afforba.-Ttv# 956 <br /> 204794-0I7Sao 524-90879 TEST REPORT <br /> ' CONTRACTOR/ENGINEER TEST DATE <br /> ORDERING TEST <br /> SITE: (� <br /> OPERATOR StsfiOH4 OWNER <br /> SITE ADDRESS ADDRESS <br /> PHONE Cam i - Cv PHONE ( j <br /> .. ... ..—„ ...:.»... .......,......--...» -.-.,..yv.. ...._,..w:,-.-_.wa.ti.::«....:.x....e..i-rN...M...p+..+.wx..iv.M+rml..pvrlYm�i MtA w.... ...i <br /> REASON FOR TEST LOCATION SKETCH fowHrni <br /> LINE(S)ONLY I frANK(S)-LTKE(S <br /> LMI(S)-LEAK DET. =�--�- <br /> tn �; G <br /> TANK{S}LINE{s}-LEAK DET. [ ( ' <br /> MAKE&TYPE OF PUMP <br /> OR DISPENSER = �` <br /> COVER OVER off. <br /> LINESU1�Cf � <br /> APPROX BURIAL / � � 'r <br /> DEPTH 7j <br /> WEATHER LN <br /> PRESSURE SUCTION Lj I SHOW YMM.BLDOS.TANKS,ISLA14DS:PIPING(IF KNOWK PUMPS OR DISFnNsms <br /> LEM DETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 10 PSI <br /> No. LD Serial Qpenin Test unchona etering Yes/ <br /> E Number Recilieney Time Leak Rate Element PSI No <br /> y TY'ES. Product In Seconds 'fate <br /> PSI <br /> XLD PIN 116036-5 f <br /> f;0 - ' t <br /> G' PLD PIN 116030-5 �( -�; ' ✓ 1.��` <br /> XLP P/N 116035-5 <br /> JE DLDPINI16017-5 � 1t�5 <br /> BFLD PIN 116012-5 <br /> OTHER l <br /> i <br /> T4- 1' j Notes <br /> CONTRACTon LINE TEST RESULTS <br /> CERTIFICATION TESTS F3EREA1ADDE ON 77:IELINE SYSTf hMS AS NO7Ep 1NACCORDANCE WITH TEST <br /> PROCEDURESPRESCRIBE?FOR AS DETAILED ON THE 7E'ST CHART ON SIDE 2 <br /> TECHMCIAN LY-LED. NIl IM0 OF 7711S FORRI M7TFI RESULTS ASFULLORM <br /> 610NA7[M <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> PETROTffE CERT. 090993AO163 {_ ,?_ PASS/ FAIL / INCONCLUSIVE �Q Q <br /> OfTL LIC is 91-1141 <br /> r.ffinccNune r .� r PASS � FAIL I INCONCLUSIVE _ J <br /> R PASS,/ FAIL / INCONCLUSIVE .I✓ -;T) <br /> FEATURING PETRI?-TI'IE <br /> LINETESTEIs PASS.. /...FAIL / INCONCLUSIVE <br />