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Afforda-Te$t POB 36 26515 N. Sacramento Blvd. LEAK DETECTOR <br /> Thornton, California 95686 TEST REPORT <br /> 209 794-0102 800 524-9087 FAX 209 794-0112 <br /> Owner/Contractor/Eng: TEST DATE: ^.c-, A ! j .~� .—� ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME: G(-�" i '30 1 .4 --� '1 :D'. ' _) <br /> Site Addresq- �qL;�� tJ �� r„ �q '-� TFCHNICIANNAMF Lyle D. Nimmo 0 Present Not Present <br /> city. Ac ovv�'JCD <br /> Phone:' a( l Z TECH SIGNATURE: INSPECTOR NAME: <br /> Operator Name: OTT[. 0 97-1143 ICC#5249115-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 CatlOrasi to <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> from above inseconds MI erMinure Hotdip PSI Pass/Fail <br /> S! L <br /> 172 6/ (PJF <br /> P/F . <br /> Z)F <br /> P/F <br /> ,jP,)F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />