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r i <br /> Lord a-Te t 416 2 Street Phone:(209)744-0112 LINE & LEAK DETECTOR <br /> Galt,Ca 95632 Fax:(209)744-0116 TEST REPORT <br /> afforda@softcom.net <br /> CONTRACTOR/ENGINEER FRANZEN HILL TEST DATE 2/26/2018 <br /> SITE:COUNTRY MARKETPLACE <br /> 1789 W. CHARTER WAY STOCKTON, CA 95206 <br /> Repair/Construction LOCATION SKETCH Show North <br /> ® I Compliance®Owners Request <br /> Insurance ❑ Escrow <br /> ® Other POST REPAIRS SHOW STREETS, BLDGS, TANKS, ISLANDS, PIPING (IF KNOWN), PUMPS OR <br /> DISPENSERS <br /> Make&Type of Pump or Dispenser <br /> RED JACKET RECEivED <br /> Cover Over Lines 140 3 0 2018 <br /> CONCRETE <br /> ENVIRONMENTAL <br /> Approx Burial Depth ENVIR� Rf RTMEN <br /> 2-4 FEET HEAP_TI-I F <br /> Weather <br /> COLD RAINY <br /> Pressure Z I Suction I ❑ <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br /> Openin Test Leak I <br /> KEY TYPES No/ LD Serial Resilienc g Rate Elemen Meterin Pass/ <br /> Product Key Number y Time In ML/Min. t g Fail <br /> Second Holding PSI <br /> s PSI <br /> A LD 2000 <br /> B LD 2000 E <br /> C FXI V <br /> D FXI DV <br /> E STPMLD <br /> F STPMLD—D <br /> G STPMLD—E <br /> H STPMLD—DIE Notes: <br /> CONTRACTOR <br /> CERTIFICATION LINE TEST RESULTS <br /> Technician: Tests were made on the line systems as noted in accordance with test procedures <br /> Zane A.Nimmo prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> OTTL License#: 04-1676 <br /> PETROTITE CERT. ❑PASS ❑FAIL ❑INCONCLUSIVE <br /> #:CCA0202112304R 87 OCTANE .0000 <br /> Icc# 8883064-UT ®PASS ❑FAIL El INCONCLUSIVE <br /> Trainee: ❑PASS ❑FAIL ❑INCONCLUSIVE <br /> 91 OCTANE ®PASS [-]FAIL ❑INCONCLUSIVE .0000 <br /> EQUIPMENT: PETRO TITE LINE [-]PASS [-]FAIL ❑INCONCLUSIVE <br /> TESTER <br /> Notes:REPAIRED DISPENSER SUMPS,TESTING HALF THE SITES PRODUCT LINES.LINE THAT RUNS THROUGH 9/10&5/6 AND <br /> TERMINATES IN 1/2.OTHER PORTION OF LINE TO BE TESTED AFTER REPAIR TO 11/12 ARE COMPLETED <br />