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POB 36 26515 N. SACTO.. BLINE & LEAK DETECTOR <br /> THORNTON, CA. 95686, TEST REPORT <br /> (209) 794-0102 (800) 524-9087 <br /> TEST DATE /-0 '4 <br /> 43 — � <br /> CONTRACTOR/ENGINEEREER <br /> ORDERING TEST <br /> SITE: <br /> OPERATOR Statlon# OWNER <br /> SITE ADDRESS ) 75-61 <br /> JV ADDRESS <br /> TE <br /> PHONE PHONE <br /> REASON FOR TEST LOCATION SKETCH <br /> LINE(s)ONLY <br /> LINE(s)-LEAK DET. <br /> TANK(s)-LDM(s)-LEAK DET. <br /> WYE&TY-PE OF FUhW_- <br /> OR DISPENSER <br /> COVEROVER. <br /> LINES <br /> APPROX BURIAL. <br /> DEPTH <br /> WEATHER <br /> PRESSURE SUCTION Sligw smiTS,BLDd&TANKS,ISLANDS:PIPING(IF KNOWN1 PUMPEOR DISPENSERS <br /> LEAKDETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 10 PSI <br /> Test Pun anal Mdering Yes/ <br /> No. LD for"' —e"T Element PSI NO <br /> Number Tune Leak Rate <br /> E Kn Reviliency OF <br /> y <br /> TYPES: Product In Seconds mjr-4Wzn Boldin g PSI <br /> XLD P/N 116036-5 7— <br /> BFLD (XL MODEL <br /> PJW 116039-5 <br /> PLD PIN 116030-5c. <br /> XLP P/N 116035-5 <br /> DLD P/Nl l60l7-5 <br /> BFLD P/N 116012-5 <br /> OTHER //- <br /> Notes <br /> CONTRACTOR LINE TEST RESULTS <br /> Tr,77,EffT�REAjADE0jV 7,IIELj)VESYSTafSASND=LVACCORDANCU97M TEST <br /> CERTIFICATION PR0CEDU=ppESCpJBED FOR AS DETAILED ON THE TEST CHART ON SIDE <br /> -rEcmciAN—LYLE.D. NIMMO op77irs FORM JfTfjjRESULTSASFVLLDff'S.* <br /> NET VOLUME CBANGE PER HOUR <br /> LINE IDENTIFICATION_ <br /> PETROME CERT. #090993A016371 -1 PASSl FAIL / INCONCLUSIVE ()� 7� <br /> orm LIC d 0-1143 <br /> PASS j FAIL / INCONCLUSIVE <br /> Troinw Sipm� FAIL / INCONCLUSIVE <br /> FEATURIN—G—PE—TRb;-TinTE <br /> PASS.. /,.,FAIL / INCONCLUSIVE <br /> LINE TESTER <br />