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Affarba-Tro- <br />CONTRACTOR/ENGINEER— <br />ORDERING <br />TEST <br />SITE: <br />POB 36 26515 N. SACTO. BL. L& LEAK DETECTOR <br />THORNTON, CA. 95686 TEST REPORT <br />209 794-0102 800 524-9087 <br />TEST DATE (- - --� — D --5 <br />OPERATOR I \ 0- S { � rrdC. Station# OWNER <br />SITE ADDRESS h-k,ee- Va, y ADDRESS <br />PHONE - PHONE - <br />REASON FOR TEST <br />LWE(s) ONLY I TANK(s)-LINE(s <br />LINE(s)-LEAK DET. <br />TANK(s)-LINE(s)-LEAK DET. <br />MAKE & TYPE OF Pi1M�s . <br />OR DISPENSER <br />CI <br />COVER OVER <br />LMS <br />APPROX BURIAL <br />LOCATION SKETCH <br />VVEATIIER — 3' j , <br />A� EA <br />PRESSURE 01 SUCTION SHOW STREETS, BLDGS, TANKS, ISLANDS; PIPING F KNOWN), PUMPS OR DISPENSERS <br />=L-EAKTECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br />10 PSI <br />No. LD Serial Opening Test unctions Bering yes/ <br />E Kav Number Resiliency Time leak Rate Element PSI No <br />' TYPES: Product In Seconds ML/Min Holdin PSI <br />XLD P/N 116036-5 I <br />116039-5 <br />C PLD P/N 116030-5 <br />D XLP P/N 116035-5 <br />+� DLD P/N116017-5 <br />BFLD P/N 116012-5 <br />oTNE <br />Notes <br />CONTRACTOR <br />CERTIFICATION <br />-EcHmcmm LYLE D.-NIMMC <br />[UNAtzi <br />f�L7i( 1/(,l,� "c, <br />PETRO'1WI'E CERT: # 090993AO163 <br />OITL LIC # 91-1143 <br />tmee Sigmh" <br />FEATURING PETR -TITE <br />T TXTV lmcllmn <br />LINE TEST RESULTS <br />TE= NE'REMADE ON 7TIELINE SYS7E11SAS NOTED INACCORDANCE 917TH TEST <br />PROCEDURES PRESCRIBED FOR AS DETAILED ON THE TEST CHART ON SIDE 2 <br />OF 771IS MRU WMI RESULTSASPOLLOKS: <br />LINE IDENTIFICA TION NET VOLUME C ANGE PER HO I <br />i ,k L PASS) / FAIL / INCONCLUSIVE <br />PASS / FAIL / INCONCLUSIVE <br />P PASS / FAIL / INCONCLUSIVE. ,�-- <br />PASS. / ,FAIL / INCONCLUSIVE <br />