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CONTRACTOR/ENGINEER <br />ORDERING TEST <br />POB 36 26515 N. SACTO. BL. I LINE & LEAK DETECTOR <br />THORNTON, CA. 95686 TEST REPORT <br />(209)794-0102 (800)524-9087 <br />TEST DATE /— 7 <br />SITE: <br />OPERATOR <br />LOCATION SKETCH "ten <br />BLCX7S, TANKS ISLANDS' PIPING P KNOWN PUMPS OR DISPENSERS <br />Station# <br />OWNER <br />SITE ADDRESS �/a (U <br />-� ,,�l <br />�,,,^ <br />ADDRESS <br />LINES) -LEAK DET. <br />PHONE <br />- <br />COVER OVER <br />LINE <br />PHONE - <br />REASON FOR TEST <br />LOCATION SKETCH "ten <br />BLCX7S, TANKS ISLANDS' PIPING P KNOWN PUMPS OR DISPENSERS <br />1r' <br />LINE(s) ONLY <br />ANK(S)-LINE(s <br />LINES) -LEAK DET. <br />TANK(S)-LR4RS)-LEAK DET. <br />MAKE & TYPE OF PUMP <br />OR DISPENSER <br />COVER OVER <br />LINE <br />APPROX BURIAL <br />DEPTH (� <br />n <br />WEATHER <br />PRESSURE <br />SUCTION <br />IsIlowsrREETS <br />LEAK DETECTOR <br />FTA LEAK DETECTOR TEST INFORMATION Calibrate <br />to PSI <br />E <br />y <br />TYPES: <br />No. <br />LD <br />Serial <br />Number <br />Resiliency <br />Oning <br />TiTme <br />In Seconds <br />Test <br />Leak Rate <br />ML/Min <br />unctions <br />Element <br />Holdin PSI <br />Metering <br />PSI <br />Yes l <br />No <br />Product <br />XLD P/N 116036-5 <br />B <br />BFLD (XL MODEL <br />PIN 116039-5 <br />PLD P/N 116030-5 <br />XLP P/N 116035-5 <br />DLD PIN 116017-5 <br />BFLD PM 116012-5 <br />071MR <br />Notes <br />CONTRACTOR <br />CERTIFICATION <br />LINE TEST RESULTS <br />TF.S7S {1ERE AIADE ON 771E LJNE SYSTEMS AS NOTED IN ACCORDANCF. 1jvw TEST <br />PROCEDURES PRESCRIBED TVR AS DETAILED ON THE 7E'ST CHART ON SIDE 1 <br />OF77fISMRM{tTTIfRESUL7SASFT7LLOR5: <br />TEct1rtclaN: YLE,D. NIMMO <br />61ONATORH /'` <br />LINE IDENTIFIC:9 TION ..lVET-VOL_UMME C ANGE PER HOUR <br />PETROTWE CERT. # 090993AO163 <br />O rM LIC H "-1143 <br />TrwmN®e <br />PASS / FAIL / ^INCONCLUSIVE' <br />PASS / FAIL / INCONCLUSIVE <br />T''°"QS1gi'"°° <br />= � <br />;PASS / FAIL / INCONCLUSIVE <br />FEATURING PETR TITE <br />LINE TESTER <br />PASS. / _FAIL / INCONCLUSIVE <br />