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416 2nd Street LEAK DETECTOR <br /> Afforda-Te$t Galt,California 95632 TEST REPORT <br /> 209 744-0112 800 524-9087 FAX 209 744-0116 <br /> Owner/Contractor/Eng: TEST DATE: S —)q7 ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME: '3 $ <br /> Sit Addres,;7 Z / David A. Wink ter ®present 0 Not Present <br /> file--ACA <br /> Phone: TECH SIGNATURE: INSPECTOR NAME: <br /> Operator Name: OTTL # 08-1739 kAe#5-263313-UT <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B LD2000/E D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION Cailo'as,d10 <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> fromabove inseseconds) Ml erMinute Holding PSI ) Pass/Fail <br /> �7 v j ' , 3 / f P I F <br /> P/F <br /> P/F <br /> F <br /> P/F <br /> P/F <br /> 7 05 L, Pi <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />