Laserfiche WebLink
17 <br /> 416 2nd Street LEAK DETECTOR <br /> Afforda-Te$t Galt,California 95632 <br /> 209 744-0112 800 524-9087 FAX 209 744-0116 TEST REPORT <br /> Owner/Contractor/Eng: TEST DATE: 3' ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME �ro �V�"o ` cn ;' '' <br /> :n i�� L le D. Nimmo <br /> Present Not Present <br /> city: T ` �� <br /> Phone: TECH SIGNATURE:('7 �/ INSPECTOR NAME: <br /> Operator Name: OTTL # 97-11# ICC#5249115-UT <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> D LD2000/E 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 Ca110asidto <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> (from above) in seconds M1perMinute Holding PSI Pass/Fail <br /> P/F • <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />