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POB 36 26515 N. SACTO. BL. HIVE & LEAK DETECTOR <br />jNfx�x���t THORNTON, CA. 95686 TEST REPORT <br />209 794-0102 800 524-9087 <br />CONTRACTOR/ENGINEER <br />�nrcn Mir_ 'M cIr <br />SITE: <br />LOCATION SKETCH V <br />SI{OW STREETS, BLDGS, TANKS, ISLANDS; PIPING (IF KNOWN) PUMPS OR DISPENSERS <br />OPERATOR �a Lf 4 <br />` <br />1� v 7? r'� V -i Station# <br />SITE ADDRESS J4{ 1- I <br />e r v <br />n <br />LNRs)-LEAK DET. <br />PHONE <br />TANK(s)-LINE(s)-LEAK DET. <br />TEST DATE —/I ` 0 7� <br />OWNS <br />ADDR UI r r <br />C rr� <br />PHOT <br />REASON: FOR TEST r <br />LOCATION SKETCH V <br />SI{OW STREETS, BLDGS, TANKS, ISLANDS; PIPING (IF KNOWN) PUMPS OR DISPENSERS <br />LMtWONLY <br />ANK(s)-LINE(s <br />LNRs)-LEAK DET. <br />TANK(s)-LINE(s)-LEAK DET. <br />MAKE do TYPE OF PT <br />OR DISPENSER , ,1,"'✓� <br />COVER OVER i 1 <br />LINES <br />APPROX BURIAL#,r <br />DEM La <br />WEATI]ER <br />PRESSUREF71 <br />SUCTION <br />LEAK DETECTOR <br />yTYPES. <br />Calibrate <br />FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br />Serial Opening Test unctions Metering Yes/ <br />No. LD Number Resiliency Time beak Rate Element PSI No <br />Product "r" In Seconds ML/Min Holdin PSI <br />XLD P/N 116036-5 <br />BFLD (XL MODEL)PfN 116039-5 <br />C <br />PLD P/N 116030-5 <br />XLP P/N 116035-5 <br />DLD P/N116017-5 <br />BFLD P/N 116012-5 <br />OTHER <br />Notes <br />CONTRACTOR <br />CERTIFICATION <br />LINE TEST RESULTS <br />TESTS ifIERE AIADE ON 771ELINE SYSTEMSAS NOTED INACCORDANCE WITH TEST <br />PROCEDURES PRESCRIBED FOR AS DETAILED ON THE TEST CHART ON SIDE 2 <br />OF MIS MRM RMI RESULTS AS FOLLOWS: <br />TECFINICIAN: YLE.Ii�NIMM-0 <br />sIGNATVRE ' y <br />LINE IDENTIFICATION NET VOLUME C ANGE PER HOUR <br />PASS / FAIL / INCONCLUSIVE <br />PETRO CERT. # 090993AOIG3 <br />O[TI. LIC # 41-1143 <br />PASS FAIL / INCONCLUSIVE <br />T}.mm Nana <br />T„rweS;g„ I,n, <br />PASS 1 FAIL / INCONCLUSIVE <br />FEATURING PETR -TITS <br />JNF M..STF:R <br />PASS/ FAIL / INCONCLUSIVE <br />