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FUM .3D 1b�1� 1v. JAl: tv. ,i�. LJJVL' & LLAA UL/L'(,1UA <br /> � <br /> CA. 95686.� 209 794 0102 800 524-9087 TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE b dti <br /> ORDERING TEST <br /> SITE: <br /> OPERATOR Station# OWNER <br /> SITE ADDRESS 0 r. (-A-AW ADDRESS <br /> GA <br /> PHONE t PHONE <br /> _ pow Hann <br /> REASON FOR TEST LOCATION SKETCH <br /> ut1 <br /> LINES)ONLY I frANK(s)-LINE(s) <br /> LINE(s)-LEAK DET. <br /> TANK(s)-LME(s)-LEAK DET. <br /> MAKE h TYPE OF PUMP <br /> OA DISPENSER <br /> COVER OVER <br /> LINES <br /> APPROX BURIAL <br /> DEFM <br /> WEA77�A <br /> I <br /> PRESSURE SUCITON SHOW STREETS.BLOOS.TANKS,ISLANDS•PIPINO(IF KNOWN PUMPS OR DISPENSERS <br /> jTLFAKD=ETEC1T0R <br /> te <br /> FTA LEAK DETECTOR TEST INFORMATION 10TPSINo. LD Serial Opening Tes! unctions Bering Yes/Number Resiliency Time Leak Rate Element PSI No Product KEr In Secondr M"fin Melding <br /> PSI <br /> XLD P/N 116036-5 1 S =7y <br /> ��S <br /> RFLDPfN6 MODE <br /> 5 /�FIv b <br /> C PLD P/N 116030-5 �q o p g �S q / 6- <br /> � <br /> a� � <br /> D XLP PM 116035-5 <br /> DLD PIN116017-5 , Y-03 /�5 3 O <br /> FSFLD P/N 116012-5 <br /> j OTHER <br /> Notes <br /> CONTRACTOR LINE TEST RESULTS _ <br /> CERTIFICATION <br /> TESTS <br /> PROCEDUURRESFREON 7HELJjVE CRIBED FOR AS DETAILED ON'THE TESORDARTO �E ST <br /> technic' lZ,'he A. Nimmo OF 7711S FORM;fmf RESULTS AS FOLLOWS: <br /> LINE IDENTIFICATION NET VOLUME C6YA'NGE PER HOUR <br /> / l - PASS / FAIL / INCONCLUSIVE <br /> ETRO'1'ITECERT4 CAA0202112304R <br /> OTTL Lic#04-1676 PASS / FAIL / INCONCLUSIVE <br /> PASS / FAIL / INCONCLUSIVE <br /> rainee: <br /> EQUIPMENT: PETRO TITE LINE TESTER PASS FAIL / INCONCLUSIVE <br />