Laserfiche WebLink
AFFORDA-TE$T <br />416 2nd Street Galt CA' 95632 LINE & LEAK DETECTOR <br />(209) 744-0112 FAX (209) 744-01 lb TEST REPORT <br />CONTRACTOR/ENGINEER pRN <br />�1ot._LJGI TEST DATE I L-)0 <br />SITE NAME — d - 199—+(, PHONE (cP-09 32-52— <br />Z <br />ADDRESS 13 ` cl <br />ADDRESS <br />KU N ST . <br />a Eco cA ' a 53 3 (o <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 />k <br />Make & Type of Pump or Dispenser <br />FF Pe-ra.o Aa-Cb <br />Cover Over Lines <br />Coal c�12�-�� <br />Approx Burial Dep <br />,JJ f <br />Weather <br />Pressure Suction <br />LEAK DETECTOR <br />FTA LEAK 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 />�' <br />l 903 <br />2-jF <br />/ <br />pl�o5 <br />B <br />LD 2000 E <br />C <br />FXI V <br />e9 3 <br />� <br />% <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 />Tec i n: ane A. Nimmo <br />_— <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 />INE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br />!' ROTITE CERT# <br />CCA0202112304R <br />OTTL Lic#04-1676 <br />PASS AIL / INCONCLUSIVE <br />AIL / INCONCLUSIVE <br />PASS ytAIL / INCONCLUSIVE <br />PASS / FAIL / INCONCLUSIVE <br />Trainee: <br />EQUIPMENT: PETRO TITE LINE TESTER <br />