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POB 36 26515 N, SACT©. BL. LINE & LEAK DETECTOR <br /> Af forbr THORNTON, CA. 95686 TEST REPORT <br /> 209 794-0102 800 524-9087 <br /> CONTRACTORCENGINEER TEST DATE — ;L <br /> ORDERING TEST <br /> SITE: <br /> OPERATOR ( Station# OWNER <br /> SITE ADDRESS z/ © 1Jp hoc ADDRESS <br /> PHONE ( - P11ONE <br /> REASON_FOR TEST LOCAVION SKEI'01 <br /> .+' Cd er 140 be <br /> LWRs)ONLY !'ANK(s)-LINE(s <br /> LINE(s)-LEAK DET. <br /> TANK(s}LINE(s}LEAK DET. <br /> MAKE A TYPE OF PVMT <br /> OR DIAPENS ER 'o <br /> COVEROVER �y <br /> APPROX BtUUUU. !, <br /> DfJrM L <br /> VMAWER pf I9 <br /> PRg5SU" SUCI ION SItOW SIREnS BL[XJS TANKS ISLAND$PIPING Of KNOWN k PLUMPS OR DISPENSERS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 10 PSI <br /> No. LD Serial Uppen ng Test Funedonal Udering Yes/ <br /> E Number Resiliency T7me leak Rate Element PSI Na <br /> Y <br /> TYPES. f'odud In Seconds Holdin FSI <br /> XLD PIN 116036-5BFLD(XL MODEL <br /> PIN 116OJ9-5 <br /> PLD PIN 116030-5 <br /> XLP PIN 116035-5 <br /> DLD PIN 116017-5 <br /> BFLD P/N 116012-5 <br /> onax <br /> Notes <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION MM HERE,AMDE ON 711E LINE S17fl IlSASNOTED INACCOROANCE IMV TEST <br /> PRMFDUIRFSPRESCRIBED FOR AS DETAILED ONWETE rCHARTONSII 2 <br /> TECHMC1AN: Y E N MO. OFMISFORM117711RESULISASF"ULWICS: <br /> I PUM LINE IDENTIFICATION NET VOL UME QL4NGE PER HOUR <br /> PETRO E CERT. 090993AQ163 PASS / FAIL / INCONCLUSIVE <br /> unix, LIC N 71-1143 <br /> PASS f FAIL / INCONCLUSIVE <br /> 7•c� As . / FAIL / INCONCLUSIVE <br /> FEATURING PER R 'll"IE <br /> PASS ! FAIL / INCONCLUSIVE <br />