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AFFO BA—TE*T 1209794 11-1-::: P. ria. <br /> c s 36 26515 N. SACRO: BL, LINE I�l..l{:. �'��ll 17ECT�' C�I�' <br /> ffvr�a-tzt ieof �rHORNTON, CA. 95686 �'�r��►' <br /> 249 794,0102 800 524-9487 <br /> CONTRACTOR/ENGINEER TEST DAT' <br /> ORDERING'I'I~ST <br /> SITE: <br /> QPERATOR � Jrr� , �' Stattioo# OWNER <br /> SITE ADDRESS_ I c-;2 _ ti v4 � ADDRESS <br /> PHONE – �1� _ PHONE <br /> REASON FOR TEST LOCATION SICET('R <br /> LINK(8)ONLY I kANY.(FrI It j <br /> LiNE(s)-MAK nFx. <br /> TANX(s)-INE(s)-LEAK nLT. <br /> ORDmEMER ` '—'k.f n L <br /> LINEA F71� fid <br /> APPROX SURLY. j p <br /> M <br /> WEATHER <br /> PRESSM SUCf10IY MOW tMEin,0LtX!8.TANKlL suu PJMN4 XNO PUMPS OA D!£FE7"WRS <br /> Irinrn•nr ar�nerasrir�r:wwwrrrr <br /> LEAK MTECTOR C"I"A LEAK DETECTOR TEST INE4RT AT11CINJK <br /> t,�lihratc <br /> No. LD S'crid ur esal 'u�i rtcp a tl'tt#a'eg Yee/ <br /> E rw Number n di�icrrcy, � look Rae ,Elm cra�' PSI 1 o <br /> to se�,ndi Nnld�'n�►��3� -- <br /> XLD P/N 116036-5 <br /> e <br /> PIN <br /> PLD PIN 116030-5 <br /> z <br /> ' XLP PIN 116035-5 , <br /> DLD P/Nnor-5 -+ <br /> BFLD PIN 116012 J, <br /> c. d-loor, Notes _.�...__...._ ._— <br /> � �elr�imrinr annF i�nrirrtTin•tieln�wnniM <br /> CONTEACCORr LINE TEST RI+:SU.L'f <br /> CERTMCATIOiV t?nVVr.EuFrVTsr <br /> FAOCEDURE5PRESCROWFOR ASMA1LEL Olr P11,�,lls TC[flm"ONsiDs2 } <br /> §7 et�rtCtaz�t: 'Y/L�E+ .&NIMMO o�rxrs��R�ovrrrtRFsur�,�a;:rcatF ;; I <br /> j SScA Lt1YEIDENTIFI4:TX(Tl�" <br /> (�J N8T Rt3l.L�1>(] FI�A;f�IGP1t I{r71Il1 <br /> FITR E CERT.#0"MA�0163 aASS ! 1+AIL / INCONCLL'Sltirl s .��.,....�.........,' <br /> Et Lac a s7-�ia3 <br /> .'ASS / FAIL / INCONCIX'SIVI! <br /> I s ,ate ���i t (;,ASS / FAIL / INCONCLUSIVI, <br /> MAT(J ENG PETR -TYTB <br /> MTE PASS / FAlL I INCONC:I.USAVE;.,, r..._ . ...�.....H <br />