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POB 36 26515 N. SACTO. BL.j INE & LEAK DETECTOR <br />THORNTON, CA. 95686. TEST REPORT <br />209 794-0102 (800) 524-9087 <br />CONTRACTOR/ENGINEER TEST DATE /,- — ;? — 6-`1 <br />ORDERING TEST <br />SITE: Ka Er;, `d' C1 <br />OPERATOR Station# OWNER <br />SITE ADDRESS -7 Di . (1 11 �X,_-'t-E _ %� C� ADDRESS <br />PHONE y(P T PHONE - <br />.. � ...... _..... ......•Nin...•... ... .. .. n . . • . � rr � re. '�� 4. .N;t � . �..v r. ..r..0 <br />REASON FOR TEST <br />LWE(s) ONLY TANK(s)-LINE(s <br />LINE(s)-LEAK DET. <br />TANK(s)-LINE(s)-LEAK DET. <br />MAKE do TYPE OF PVW <br />OR DISPENSER f () I iC <br />LOCATION SKETCH <br />COVER OVER <br />LINES Ca <br />APPROX BURIAL <br />DEF'IT1 <br />WEA'ITIER . <br />PRESSURE SUCTIONF-I SHOW STREETS, 9LDaS, TANKS, ISLANDS; PIPING (IF KNOWNL PUMPS OR DISPENSERS <br />FTA LEAK DETECTOR TEST INFORMATION Calibrate <br />LEAK DETECTOR 10 PSI <br />No. LD Serial Opening TestIfunctionqa1deringl Yes/E Number Resiliency Time LeakRate ElemePSI No <br />y TYPES.• Product In Seconds ML/Min Holdin <br />XLD P/N 116036-5u I) <br />C PLD P/N 116030-5 <br />XLP P/N 116035-5 <br />DLD P/N 116017-5 <br />BFLD P/N 116012-5 <br />OTHER i M <br />Notes <br />CONTRACTOR LINE TEST RESULTS <br />CERTIFICATION TESTS KERS AIADE ON 711E LINE SYS7DdS AS NOTED INA CCOPDANCE If MI TEST <br />PROCEDURES PRESCRIBED FOR AS DETAILED ON THE TEST CHART ON SIDE 2 <br />TEcHmcIAN: - YLE D. NIMMO OF77IIS IURM {f7TJ1 RESULTS AS FOLLOWS: <br />SI ONATURR <br />LINE IDENTIFICA TION ; __ NET VOLUME CHANGE PER HO UR <br />PETROTM CERT. # 090993A0163 (� /,PASS \Y, FAIL / INCONCLUSIVE h��? <br />OCTL LIC It 91-1143 <br />TraneaNama 1-u) --IA X-6i)U ,;.;'--`� '' PASS FAIL / INCONCLUSIVE —• --�C <br />TrameeSigruhue !/.='- �• )-.',a=r�-' PASS / FAIL / INCONCLUSIVE <br />FEATURING PETRO-TYFE <br />LINE TESTER __ - PASS,. /. 'FAIL / INCONCLUSIVE , <br />