Laserfiche WebLink
iii ® iesa, pe <br /> f'. 0. Box 1058 - 11.aeak Detimtop -- <br /> Linden, CA 95236, <br /> (209) 887-2639/Fax(209)887-191A/Lic.#859535 Test Report <br /> Owner/Con_tractor/Eng: _444--P <br /> Q TEST DATE: 3-16-2017 Environmental Health Agency <br /> SITE l AIT E: - _= z <br /> VILLAGE WEs;�MARINA _ s}` o -t W Technician Name: Greg Kaiser SJEHD <br /> Site Address_ o Z Tech. Sig tur - I@ Present 12Not Present <br /> 6649 EMBARCADERO DRIVE I Lj �-' _ W <br /> City: STOCKTON 95219 <br /> Phone: (;t09�951-1551 Q p — --- l Inspector Name; VICKI M_C:_CARTNEY <br /> Operator Name: TIM FONT,Al E ICC_f_ECH. 25231I_UT <br /> W <br /> !' LEAK DETECTOR. KEY <br /> LD2000 _ _ t'. FE Petro STP-MLDG Fred Jacket FX1'V _ <br /> B 991-D2000 D FE Petro STP-MLD-L; — H F�:ed Jacket FXJVD <br /> E FE Petro STP-MLD--) — <br /> 1, FE Petro STP-MLD-DE. J 'Other <br /> 1`11". LEA] twwcrOR TEST INFORMATION <br /> Dispenser Product LD Kew Serial:If Resiliency Opening; Test Leak hate Functional Metering <br /> Number Time Elerntmt PSI Pays/Fail <br /> (from above) in sax units) ML e i A;lUte Holding,ASI <br /> DISP. 3 DIESEL A ISO_ 4 189 r-50 SEC 20 32 PASS <br /> DISP. 2 PREMIU1,'C A ISO 4 T 1139/.$0 SEC 18 25 PASS <br /> i )'/F <br /> P/F <br /> P/F <br /> ?/F <br /> iYf --mm! IY3-- gu:a�ia�ver.i�nm�,.pe <br />