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1 <br /> II I� Cliampion P.O. Box 13059 <br /> fft!i�l'_t <br /> Sacramento CA 95813-3059 <br /> Precision Tank Testing CA 800-660-9443 <br /> License No. 73848 NV 800-949-9443 <br /> 1-916-927-1557 <br /> Fax: (916) 927-7345 <br /> Date: <br /> Site ID: _ <br /> Operator: t. •} Tl(c� i=•.cC�� _ <br /> Site Address: <br /> City: I`���.1 1�..^ State: On Job Site Time: <br /> Zip: Phone: Off Job Site Time: <br /> Precision Leak Detector Test - F.T.A. <br /> Tank# 1 Tank#2 TanK# 3 Tank#4 <br /> Product Z) <br /> Serial Number - A.'! <br /> Resiliency - ! 6� ►�1 <br /> Opening Time 3 Q <br /> Test Leak Rate <br /> Functional Element <br /> Holding Pressure v n <br /> Metering Pressure <br /> Paste Pass ❑ Pas ❑ Pass ❑ <br /> Fail ❑ Fail---9 Fail -C Fail ❑ <br /> Comments:`F1;i-,;!-: <br /> `"Nz�/ <br /> T WA 'at.a.y`r- i 'r- i= %'a �w" *%.107- <br /> j,}O t3 W � � r,��� ���,�,r,.; �; �� LI.DS� u Gq 't'�-� -4-t��� ►.i� <br /> 1 ( P' <br /> TECHNICIA . William Campbell - LIC. 90-1324 Signature: )! -=' -- Cert # <br />