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POB 36 26515 N. SACTO- LINE TEST <br /> FAFFORDA-TE'$T THORNTON, CA. 95686 REPORT <br /> 209 794-0102 800 524-9087 <br /> STATION# �7 1 h 1 Q / TEST DATE l -" -:2-� <br /> OWNER AXf�T AI 4 OPERATOR <br /> PHONE �/� �' PHONE - <br /> ADDRESS `la L 11 Oii IU[Y " SITEADDRESS Se ,� <br /> CONTRACTOR/ENGINEER REASON FOR TEST <br /> ORDERING TEST <br /> LOCATION SKETCH mwNnnn <br /> LINE(S)ONLY <br /> LINE(S)-LEAK DET. <br /> TANK(S)-LINE(S)-LEAK DET. _ RN 1pi" <br /> TANK-LINE ��1 0 ,` ❑k <br /> MAKER'I)PEOr PIINIP ��C V-C <br /> O DISPENSER <br /> COVER OVER <br /> LINES 3 <br /> APPROX EIIRiAI. <br /> DEPTH 1, <br /> WEAIHER '-- —�lejiv Ce'j<e__— <br /> SHOW SIRELIS,BLIAIS,TANKS,ISLANDS,PIPINO(IF KNOWNJ,PUMPS OR DISPENSERS ' <br /> LEAK DETECTOR LkkK' t`ECT0WEST INFORMATION <br /> TIPE TESTED rHECK) No. Serial Opening Test Fguu��nctiortrtntta���l Metering yes/ <br /> Product Number Resiliency Time Leak ML/Mine Holr�»gPs/ / No <br /> XLD P/N 116036-5 dof W5 6 �v� 2 <br /> ( E <br /> PIN i16039-5 <br /> PLD PM 116030-5 R lA L 3 q$' y S ZI 1 r69/3 16 9 eS <br /> XLP P/N 116035-5 <br /> DLD P/N116017-5 _ <br /> FLD P/N 116012-5 <br /> OTHER <br /> °RESULTS <br /> CONTRACTOR TESTS HEREAIADF.ON 7TIE LINE SYSTEAISAS NOTED INACCORDANCE IP TH TFST <br /> CERTIFICATION pROt'E.'DURE:FPRP:S('R/RF.DFT)R ASDET41LEJ ON THE TEST CHARTON SIDE <br /> OF7111SFC)Nf fr77T1 RESULTSASFOL,OffS: <br /> OTTL LIC N 91-1143 <br /> PETROTITE CERT. #090993AO163 LINE/DENT/FIC'ATION NET VOLUME C ANGE PER HOUR <br /> PASS FAIL / INCONCLUSIVE ,OC�Y✓� <br /> TECHNICIAN. LYLE D NIMMO u PASS / FAIL / INCONCLUSIVE <br /> SIONAIlIRE <br /> ' � ,�6lCf PASS / FAIL / INCONCLUSIVE <br /> ' f <br /> INE TESTER <br /> PASS / FAIL / INCONCLUSIVE <br />