Laserfiche WebLink
Affords- 1e$t POB 36 26515 N. Sacramento Blvd. Static Torque&Rotation <br /> Thornton, California 95686 <br /> (209) 794-0102 (800)524-9087 FAX(209) 794-0112 Drop Tube Pressure Integrity <br /> Contractor/Engineer Ordering Test(ifany): TEST DATE: / •IMjE;// 'q t <br /> TECMHci NNmm: Zone w `.`_ <br /> SITE NAME: WaJ�4 csF L1" J, ;z r r U��( Stmt U Anarral <br /> Operator Name: Owner. TECIISIGNATURE: 67), <br /> Site Address: Do - j"PA!A 5 r Address: <br /> Yl P '.FC 4�ya ABR QUALITY AGENCY: <br /> Phone: a.3 - �f 5 6-0 / <br /> " INSPECrORNAb1E <br /> FACILITY INFORMATION X Present NotPresent <br /> A/C,Application, Gasoline Disp <br /> or Permit# d��f ` ) j Facility# Phase 1 T e <br /> mml� YP Phase 11 Type -- <br /> STATIC TORQUE&ROTATION Ib " lb ' A DROP TUBE PRESSURE INTEGRITY (.16 & under is Pass) <br /> VaporAdaptnr. }s lrt ._ _ 3 'I �IVdnCt 1�1tlOgell essure' �tabC Odet <br /> .� . ' � � �+ Ma1telModel <br /> Brand 1�l/J d AGO Gra p. Flowrnte (Inches oP SP, I;titbetA N ;1Rotatable ` <br /> CFg '1Rotatab`le z <br /> �y F yWater) Containlnenf PYoductAdapto F ypCAlaptor' <br /> Model: )„.2 rq �„; 1 c �.^ t <br /> S • ,� _ .ter _ {"::i s s '. <br /> Prod.Grade: <br /> c� i 2.n5- op„4 -'tp <br /> Torque#1: (p0 7 O <br /> 5 <br /> Torque#2: 0 (�a C <br /> Tor ue#3: 0l✓ `p45- <br /> Average: <br /> -Avera <br /> 360'Rotation: Ye-s / No es / No Yes / No Yes / No <br /> Pi•odctAdaptoi� ', " j x'` r�.,,�..2 3.. `' � , � .: <br /> Brand: O f""3 6 <br /> Model: _ Comments <br /> Product Grade: 6 i I <br /> Torque#1: j - (Dj <br /> Torque#2: (D <br /> Torque#3: U� <br /> Average: � '>, Z <br /> z�n°n t Ya / Nn iYP / Nn Vac / Nn <br />