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POB 36 26515 N. Sacramento Blvd. LEAK DETECTOR <br /> Afforda-Te$t Thornton, California 95686 TEST REPORT <br /> 209 794-0102 800 521-9087,FAX 209 794-0112 <br /> owner/Contractor/Eng: TEST DATE: / 71, ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME: 1. F `.1�7��'` •. � � / 1_, �rJ c oPQu /A) <br /> Site Add'ess' I�g� TPCHNICTAN NAME ZQ pe .4,. Nimmo Present F�7 Not Present <br /> /j ` G S3!6 <br /> Phone: Z 2 ?,? - 7/ 7 TECH SI_ INSPECTOR NAME: <br /> O erator Name: G5 orTL a 0 40ir ICC# 5263322-UT <br /> • LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B 99LD2000 D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION catloratsato <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> fromabove inseconds ML per Minute HoldingPSI Pass/Fail <br /> P/F <br /> P/F <br /> fiq F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />