Laserfiche WebLink
AFFORDIA-TE$T <br />416 2ndStreet Galt CA 95632 LINE & LEAK DETECTOR <br />(209)744-0 12 FAX (209) 744-0116 TEST REPORT <br />CONTRACTOR/ENGINEER <br />TEST DATE <br />SITE NAME _� 1 <br />ADDRESS) <br />r <br />�W <br />% PHONE ( ) <br />Repair/Construction <br />Compliance <br />Insurance <br />Escrow <br />LOCATION S <br />o <br />-ETCH _ �� E{ U c�- Show North/ <br />C� <br />----- - __--------_.- - <br />�) <br />i <br />_ ED <br />BLDGS, TANKS, ISLANDS, PIPING (IF KNOWN), PUMPS OR DISPENSERS <br />- <br />`7/ O-r <br />i`'fa <br />SHOW STREETS, <br />Make & Type of Pump or Dispenser <br />CoveT, Over Lines <br />Approx Burial Depth <br />1/ater <br />PC SSure Suction <br />LEAK DETECTOR <br />FTA LEA <br />DETECTOR TEST INFORMATION Calibrate <br />10 PSI <br />KEY TYPES <br />No/Product <br />LD <br />Key <br />Serial <br />Number <br />Resiliency <br />Opening <br />Time In <br />Seconds <br />Test Leak <br />Rate ML/Min <br />I Element <br />Holding <br />PSI <br />Metering PSI <br />Pass/ <br />Fail <br />A <br />LD 2000 <br />B <br />LD 2000 E <br />C <br />FXI V <br />D <br />FXI DV <br />E <br />STPMLD <br />F <br />STPMLD - D <br />G <br />STPMLD - E <br />H <br />STPMLD - D/E <br />Notes: <br />CONTRACTOR <br />CERTIFICATION <br />Technician: Zan A. Nimmo <br />-�_ <br />LINE TEST RESULTS <br />Tests were m de on the line systems as noted in accordance with test procedures <br />prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br />LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br />PETROTITE CERT#'� <br />CCA0202112304R <br />OTTL Lic#04-1676 <br />�c -- " T._ ASSN FAIL / INCONCLUSIVE <br />�'� T-7 PASS�FAIL / INCONCLUSIVE <br />PASS h FAIL / INCONCLUSIVE <br />ASS b FAIL / INCONCLUSIVE <br />Trainee: <br />EQU PMENT: PETRO TITE LINE TESTER <br />