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Afforda-Te POB 36 26515 N. Sacramento Blvd. LEAK DETECTOR <br /> 't Thornton, California 95686 TEST REPORT <br /> 209 794-0102 800 524-908 FAX 209 794-0112 <br /> Owner/Contractor/Eng: TEST DATE: 0 A, a ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME:C J r,),4 , � <br /> —Site Address- HArn F_ Zgne ._WiTm0 Present Not Present <br /> City7Phone: (�r� ��, '- - f. D TECH SIGNATURE: <br /> INSPECTOR NAME: <br /> O erator Name: ��P� OTTL # 0 .1,676 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 Calibratedto <br /> 10 si <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> from above inseconds ML per Minute Holding PSI Pass/Fail <br /> �>CA � <br /> P/F <br /> i8c� <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 />