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Affords-Te t 4162nd Street LEAK DETECTOR <br /> Galt,California 95632 <br /> 209 744-0112 800 524-9087 FAX 209 744-0116 TEST REPORT <br /> 011 ner/Contractor/ �Eiig:: TEST DATE: 3( O� ENVIRONMENTAL HEALTH AGENCY: <br /> J`C <br /> SITE NAME: 'L A-4e"T c�lV/ 04,QSite Addres: u l <br /> 8 5. EL- TECHNICIAN NAME Zane A. Nimmo present Not Present <br /> Phme: TECH SIGNATURE INSPECTOR NAME: Y r <br /> Operator Name: OTTL # 04-1676 ICC# 5263322-UT <br /> LEAK DETECTOR KEY <br /> w <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> D LD2000/E D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F I FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION Calibratedto <br /> 10 Si <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> tiomabove inseconds ML per Minute Holding PSI Pass/Fail <br /> �-�- Ci <br /> P/F <br /> G1 I A Zoo 3 (8q 3 Zb ( Z <br /> P/F <br /> A- 90 Z 16713 13G1 F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />