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416 2nd Street Galt CA 95632T- <br />AFFORDA-TE$TLINE <br />(209) 744-0112 FAX (209) 744-01'. <br />& LEAK DETECTOR <br />TEST REPORT <br />CONTRACTOR/ENGINEER <br />TEST DATE <br />SITE NAME <br />PHONE ( ) 33'Z- <br />ADDRESS IM0 <br />A2-eae Z/- <br />Repair/Construction <br />Compliance <br />Insurance <br />Escrow <br />LOCATION SKETCH Show North <br />SHOW STREETS, BLDGS, TANKS, ISLANDS, PIPING (IF KNOWN), PUMPS OR DISPENSERS <br />X <br />Make &Typeof�ump or Dispenser <br />x/41 (O <br />Cover Over Lines <br />rr/C�2r7� <br />Appro x Burial Depth, <br />Weather <br />Coo <br />Press u a Suction <br />LEAK DETECTOR <br />KEY TYPES <br />FTA LEAK DETECTOR TEST INFORMATION Calibrate <br />10 PSI <br />Opening I Element <br />LD Serial Time In Test Leak Holding Pass/ <br />No/Product Key Number Resiliency Seconds Rate ML/Min PSI Metering PSI 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: Zane A. N1mmo <br />LINE TEST RESULTS <br />Tests were made 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 />IINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br />TROTITE CERT#3 <br />CCA0202112304R <br />OTTL Lic#04-1676 <br />--.> 6-- ASS FAIL / INCONCLUSIVE <br />0 --r PAS FAIL / INCONCLUSIVE <br />oc`7 P S FAIL / INCONCLUSIVE <br />/�S L PASS j� FAIL / INCONCLUSIVE <br />ob D <br />Trainee: <br />QUIPMENT: PETRO TITE LINE TESTER <br />r 00 7 <br />, <br />