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AFFORDA—TE$T 12097940112 P.D2 <br />POB 36 26515 N. SACTO, BL. LINE & LE"AVDETECTOR <br />4kffarba-zlegit THORNTON, CA. 95686 <br />209 794-0102 800 524-9087 TFUT I bEPORT <br />CONTRACTOR/ENGINEER TEST DATE 1--,,7 <br />ORDERING TESTSITE: r <br />OPERATOR 16Y Ci }1 �pv� G Station# OWNER <br />SITEADDRESS <br />REASON FOR TEST <br />LINE(s) ONLY Y'ANK(5)-j-D4 (s <br />1,24Rs}LEAK DET. <br />TANK(s)-LIIVE(s)-LFAK DET, <br />IAAKQkDBP TYPNSE q Pllt� /pe7 <br />LOCATION SKETCH <br />COVMQVRR +/ <br />LMAPPROX Ji P P <br />DP.PTii BVRW, <br />WEATHER ova/ <br />PRESSURE 2 SUCTION SHOW MEETS BLDdS TANk ISL WD ' PIPING F KNOWN PUMPS OR. DISPENSERS <br />FX7LD <br />ECTOR FTA LEAD DETECTOR TEST' INFI�R1VI,c�TI�OI�Y c>:Ilbr�r.I� <br />to PSL. <br />�m�Y <br />No. Ln Serta! pip nrg Tecl un . rr Al�.r g Yen.i <br />JDkvdv� Kr Mmyffber Resillency 77nre Lea1kRv,, Mernent I�S7 NO. <br />ln8esonda � No1'dlrr <br />16036 <br />PLD P/N 116030-5 <br />UP P/N 116035-5 <br />DLD P/N116017• 5 <br />art n DIM +rcnf+ r <br />Notes -`- <br />�' .nrm•��rm•r� <br />CONTRACTOR LINE TEST RESULTS <br />CERTIFICATION 7R'S7S "ERUAIADE pN TNELINE SYS WSAS JY0nV 1NACCO►RDVMCE WFM:= <br />CHMCiPROCEDUMPREsCPJBW FQR ASDETAft.P-D ONTVE M7,(,nARiDNSmtP2 <br />tAN O OF'17fIS1r�ftMlf'IT1fRLSULTSASFt7LLDWS:+�......_ <br />,cIONA7VR$ �'- <br />LINE IDENTIFICA TION -Awx <br />C �I1VG1;'PER401 <br />PETRO CERT. 0 09"93Ao16.3 <br />o 1, L►c N Of -ifs PASS / FAIL INCONCLUSIVE Y) <br />N PASS J PAIL / 1NCONCLUSM <br />r,eioe SipRtme ".. — �— <br />�� p /FAIL / INCONCLUSIVE <br />FEA'IURINOP�'fFt T17B <br />�TN��rk PASS. /...FALL / INCONCLUSIVE <br />