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11111 26515 N. Sacramento Blvd. LEAK DETECTOR <br /> Afforda-Te$t Thornton, California 95686 TEST REPORT <br /> 209 794-0102 800 524-908 FAX 209 794-0112 <br /> Owner/Contractor/En : TEST DATE: o/1 �� ENVIRONMENTAL HEALTH AGENCY: <br /> r '5-jc� <br /> SITE NAME:C��u oT �.o�� C✓cb t��fy- <br /> Site Address7 3 1 S , H Ar•n L W Z rie rit0 Present Not Present <br /> L C' 15�y1 <br /> Phone: OC4 3 — h—I S TECH SIGNATURE: INSPECTOR NAME: <br /> Operator Name: OTTL # 04-1676 ICC# 5263322-UT <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B 99LD2000 D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION Callopsdto <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> from above in seconds ML per Minute HoldingPSI Pa <br /> SS/Fall <br /> k"o e 12 (� 3 F <br /> P/F <br /> `-' P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />