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jNffarba-Tro <br />CONTRACTOR/ENGTNEER <br />ORDERING TEST <br />POB 36 26515 N. SACTO. BL. LINE & LEAK DETECTOR <br />THORNTON, CA. 95686 TEST REPORT <br />209 794-0102 800 524-9087 <br />TEST DATE <br />SITE: 03 JUN 12 PM 12 <br />OPERATOR ty ,p a N -U a Station# <br />40 <br />OWNER <br />SITE ADDRESS <br />ADDRESS <br />I UIANK(S)-LINE(S)D <br />PHONE - <br />PHONE ' <br />REASON FOR TEST <br />LOCATION SKETCH <br />1� <br />d C two ►+ i�r <br />Q <br />�� ! %D <br />Ja V <br />SNOW STREETS, BLDciS, TANKS ISLANDS; PIPING P KNOWN PUMPS OR DISPENSERS <br />LINE(s) ONLY <br />I UIANK(S)-LINE(S)D <br />LNE(s)-LEAK DET. <br />TANK(s)-LINE(s)-LEAK DET. <br />MAKE & TYPE OF PUMP �L <br />OR DISPENSER pj �" f <br />COVER OVER <br />IN <br />LES th i'7 r o rf% <br />APPROX BURIAL r <br />DEPTH <br />WEATHER r C. <br />PRESSURE <br />Y <br />SUCTION <br />LEAK DETECTOR <br />FTA LEAK DETECTOR TEST INFORMATION Cali10 brate <br />SI <br />E <br />y <br />7VES. <br />No. <br />LD <br />KE <br />Serial <br />Number <br />Resiliency <br />Time <br />Openinjtp'gd <br />In SecondIXLD <br />elering <br />PSI <br />t c. <br />No <br />Product <br />P/N 116036-5 <br />/ <br />(�)o <br />� <br />� [� <br />/� <br />PIN 116039-5 <br />C <br />PLD P/N 116030-5 <br />C <br />�,,� 0 <br />E <br />XLP P/N 116035-5 <br />DLD P/N116017-5 <br />d�, y c!- <br />12 p <br />BFLD P/N 116012-5 <br />orates <br />avins <br />Notes y(.1-� S f a Loe `(r 044, l i- f U 4 r hP< <br />CONTRACTOR <br />CERTIFICATION <br />LINE TEST RESULTS <br />TESTS KEREAIADE ON 771ELINE SYSMISAS NOTED INACCORDANCE 97TH TEST <br />PR OCED URES PRESCRIBED FOR AS DETAILED ON 771E TEST CHART ON SIDE 2 <br />OF7711SMRMWITHRESUL7SASFOLLOWS:SIGNATURE <br />TEumctU.LL P&,NIN MO <br />LINE IDENTIFICATION NET VOLUME C GE PER HOUR <br />PETRO'PlM CERT. # 090993AO163 <br />OfTL LIC N "-1143 <br />ThinwNane <br />({ <br />/ FAIL / INCONCLUSIVE <br />Q <br />�u i t <br />FAIL / INCONCLUSIVE <br />�jI(C7 <br />Ts"n°r' <br />.ta..l <br />7PASS <br />FAIL / INCONCLUSIVE <br />f <br />FEATURING PETR -TITS <br />LINETESTER <br />/, .FAIL / INCONCLUSIVE <br />