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416 2nd Street LEAK DETECTOR <br /> Afforda-Te$t <br /> Galt,California 95632 <br /> 209 744-0112 800 524-90''87 FAX 209 744-0116 TEST REPORT <br /> Owner/Contractor/Eng: TEST DATE: V i�?' ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME: : lrl d r d <br /> Site Addre';97 -, ,� W � ;,,tri '3:M� D vz . Wink ter <br /> //�� t _ Present Not Present <br /> �ty Phone: TECH SIGNATURE: rNSPECTORNAME: <br /> O erator Name: OTTL # 08-173 hfft#5263373-UT <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B LD2000/E D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION calibrated to <br /> 10 si <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> from above inseconds Ml erMinute Holding PSI Pass/Fail <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />