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416 2nd Street LEAK DETECTOR <br /> m Affmda— eT $t <br /> Galt,California 95632 <br /> r 249 744-0112 800 524-9097 FAX 209 744-0116 TEST REPORT <br /> Owner/ContractorlEn : C2 1- i TEST DATE: "�'�� ENVIRONMENTAL HEALTH AGENCY: <br /> v P:: <br /> c- SITE N ,�; David A. Winkler Present Not Present w <br /> M 13.3'1 i r <br /> fJ <br /> m Phone: TEC14SIGNATURE_ INSPE.MP,NAMF- <br /> `�' O erator Name: OTTL 9 08-1739 ICC#5263373-UT <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP MLD G Red Jacket FXN <br /> B LD 0 D FE Petro STP-MLD-E I3 Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> 4,- <br /> Calibmiedto <br /> FTA LEAK DETECTOR TEST INFORMATION lo-. <br /> Dispenser Product LD Key Serial# esiliency Opening TtLeak Functional Metering PSI 4: <br /> Element <br /> 17-0 <br /> Number ffi=�� <br /> Time xoldi PSF PasslFa�l <br /> _ P F <br /> LL <br /> n <br /> P/F <br /> P/F <br /> P/F =._E <br /> m PIF <br /> ni <br /> PIF <br /> M P/F <br /> CD <br /> PIF <br /> C\j P/F <br /> U PIF <br />