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POB 36 26515 N. SACTO. BL. LINO & LEAK DETECTOR <br /> Af farbax- ro THORNTON, CTEST REPORT <br /> 209 794-0102 88 00 5 524-924-9 087 <br /> CONTRACTOR/ENGINEER `� MOIN TEST DATE -- <br /> ORDERING TEST k VV\ <br /> SITE: 2L,)en GENTrcn. <br /> OPERATOR CI`r` p — Station# OWNER <br /> SITE ADDRESS 2 T ADDRESS <br /> C.e�6'F'n n/J7 PI r <br /> PHONE 20� � ��3� PHONE <br /> JI <br /> REASON FOR TEST LOCATION SKETCH I I I Ln <br /> LRIE(S)ONLY TANK(s)-LINE(s W <br /> LWs)-LEAK DET. W a Ak j <br /> n <br /> TANK(s)-LMs}LEAK DET. j <br /> MAKERTYPEOFRUP .:._ .__. .. <br /> OR DISPENSER <br /> COVER OVER r-01411 1 _ <br /> APPROX BURW, y "` <br /> DEPTH <br /> WEATHER 11)(x <br /> 1 C'ft <br /> PRESSURE F�jSUCTION SHOW EEI'S BLDOS T NKS ISLANDS WINO IF KNOWN PUMPS ORIOISPENSERS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 10 PSI <br /> No. ILD Serial O ening Test F <br /> unctional Metering Yes/ <br /> E KEY Number Resiliency Time Leak Rate RSI No <br /> BFLDIMMUDEL <br /> PIN 39-5 <br /> Y <br /> TYPES: Product In Sewnds M in <br /> XLD P/N 116036-5 (��� tY i" is c C"tee r clv <br /> PLD P/N 116030-5 <br /> XLP PM 116035-5 <br /> DLD P/N116017-5 <br /> BFLD PM 116012-5 <br /> OTHER <br /> Notes <br /> LINE TEST RESULTS <br /> CONTRACTOR51DEN <br /> S IVFRF MADF.ON 771FLINF SYS70fSASN07ED INACCORDANCE N977f TEST <br /> CERTIFICATIONCF,DURBSPRFS('RIRED roR AS DETAILED ON 771E TEST CHART ONSIDE 2 <br /> OF THIS FORM 07TH RESUMASFOLLOM <br /> OTTL LIC N 91-1143 ATION NET VOL UMEC CE PER HOUR <br /> PETROTITE CERT.#090993A0163 PASS"J FAIL / INCONCLUSIVE t tEcxNtclnNL , IMMOPASS FAIL / INCONCLUSIVE "t�(luY`r9IMSKINATURE_ _ PAS / FAIL / INCONCLUSIVE 0000 <br /> FEAIURIN(1 PETR TITS <br /> TER PASS / FAIL / INCONCLUSIVE <br />