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A -rr- 416 2nd Street LEAK DETECTOR <br /> ­1110Galt,California 95632 <br /> rda-Te$t (209)744-0112 (800)524-9087 FAX(209)744-0116 TEST REPORT <br /> i� <br /> 91)iler/'Cowractor/Enug: TEST DATE: ENVIRONMENTAL HEALTH AGENCY: <br /> '" f 57 <br /> c7r- <br /> SI T E __N A 111 E: <br /> u - Q Address7 TECHNICIAN NAME. Lyle D. Nimmo <br /> Present Not Present <br /> Phone: <br /> -TECH SIGNATURE: 1, <br /> INSPECTOR NAME: <br /> Operator Name: OTTL " 97-1143 ICC#5249115-UT <br /> LEAK DETECTOR KEY <br /> 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 h r Az-x I <br /> FTA LEAK DETECTOR TEST INFORMATION Calibratedto <br /> lops, <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Element <br /> Number (fioinabo�e) Time Pass/Fail <br /> PSI <br /> ,771"o T_ no=PF <br /> P/F <br /> P 'T P I F,2 <br /> P/F <br /> P/F <br /> C <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />