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POB 36 26515 N. SACTO. BL. L11NE & LEAK DETECTOR <br /> Af f o rba-Teo# THORNTON, CA. 95686 TEST REPORT <br /> 209 794-0102 800 524-9087 <br /> CONTRACTOR/ENGINEER 1V 'Vc? fi 1, t. CO. TEST DATE <br /> ORDERING TEST <br /> SITE: <br /> OPERATOR Fa QPIC As Wall- stRlloo OWNER <br /> SITE ADDRESS p l r ADDRESS <br /> ; to)" L'w , <br /> PHONE (%7 IY �l - SOD I PHONE, <br /> REASON FOR TEST LOCATION SKETCH <br /> NC.1.) N t ) )a 1 to .1 <br /> LINF(s)ONLY rANK(S)-LINE(s ng <br /> LINNs)-LEAK DET. <br /> TANK(8)-LINE(8}LEAK DET. d <br /> MA"A TYPE OF PIR.W OR DOMNSERo /c wry O <br /> COVER OVER /+ <br /> L@7P2 -OI�Ch�f2. �Y /RrNL f <br /> ROX BURIN. 17 D nDEM O <br /> WEATHER <br /> s To �-p <br /> PRESSURE SUCTION SIIVWSI MSBL -S lAN0.S ISLAM PIPMO OF KNOWN),PUMPS O0.DISPENSERS <br /> FTA LEAK DETECTOR TEST INFORMATION Cdibnte <br /> LEAK DETECTOR 10 PSI <br /> No. LD Serial Opprn ng Test Functional Ya/ <br /> E Number Resiliency 77me Leak Rale Element PSI No <br /> Y TYPES. Ph durl In Siconei HoldingPSI <br /> XLD P/N 116036-5 G <br /> FIN 16039-5 <br /> PLD P/N 116030-5 CJI/ ? L - ILI O ;7 8"'/13 Z — 1 Z i <br /> XLP P/N 116033-3 <br /> DLD P/N 116017-5 <br /> BFLD P/N 116012-5 <br /> olum <br /> o1 Pr;//-a <br /> Nota <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION MM REREMADEON 7NEIJNF SYSIFUSAS N07M INACCORDANCE B77H TEST <br /> PROCEDURES PRESCRIBED FDR AS DETAILED ON THE TESYCHART ON SR71B7 <br /> TECHNICIAN: YLE NIMMO OF THIS FORM IMII RFSUL7SASPULLON'S. <br /> SMATUR{ LINE IDENTIFICATION <br /> {�G� NET VOLUME CNANGEPERHOUR <br /> PXTRU CERT.k OM93AO1 1 tsAS / FAIL / INCONCLUSIVE D (� <br /> O/TL LIC 0 !14113 <br /> gym, PASS / FAIL / INCONCLUSIVE <br /> ndA.raa.. C 1.1 lJ ASS / FAIL / INCONCLUSIVE <br /> FEATURING PETRO-TITS <br /> UNE MM11 PASS / FAIL / INCONCLUSIVE <br />