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AFF'ORDA-TE$ 416 2nd Street Galt CA 95F"'' LINE & LEAK DETECTOR <br /> (209) 744-0112 (209) 744-0116 . ,,x TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE <br /> I1 E NAME PHONE <br /> y, <br /> ADDRESS q 00 ls (.� ( ��' Ybi <br /> i Dt <br /> Compliance LOCATION SKETCH Show North <br /> Repair/Construction <br /> Insurance <br /> Escrow <br /> Make&Type of Pump or Dispenser <br /> Cover Over Lines <br /> f . batt r , V1 <br /> Approx Burial Depth <br /> Weather <br /> Spe P?epwe�d r/-c) r `v <br /> V IFIressure Suction ISHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> Calibrated to 3 gph @ 10 psi FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> 10 PSI <br /> LEAK DETECTOR KEY Disp#/ LD Opening Leak FunctionalTime Rate Element Metering <br /> Product Key Serial Number Resiliency In Seconds MUMin Holding PSI PSI Pass/Fail <br /> A LD 2000 171,05�f 10 '� >>'C I UP:)/ <br /> F <br /> B LD 2000 E <br /> P / F <br /> C FXI V 41 7 P '70P /CFS <br /> D FXI DV <br /> P / F <br /> E STPMLD <br /> F STPMLD- D P / F <br /> G STPMLD - E f44 /y5 <br /> H STPMLD - D/E Notes: l 0 x�-p <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION Tests were made on the line systems as noted in accordance with test procedures <br /> Technician:Lyle D. Nimmo 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 /> PET OTITE CERT# PASS\/ FAIL / INCONCLUSIVE <br /> 090993AO163 I ©( t✓ <br /> OTTL Lic#97-1143 l� P PASS / FAIL INCONCLUSIVE n <br /> Trainee: c�lc !� PASS FAIL / INCONCLUSIVE <br /> PASS / FAIL / INCONCLUSIVE <br /> EQUIPMENT:PETRO TITE LINE TESTER �i <br />