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6 II Champion P.O. Box 13050 <br /> I I Sacramento CA 95813-3050 <br /> Precision Manic "resting CA 800-660-9443 <br /> License No. 73848 NV 800-949-9443 <br /> 1-916-927-1557 <br /> Fax: (016) 027-7345 <br /> Date: l 1 ► 0• G <br /> Site ID: <br /> Operator: `f ^ YI3hlr�i ,?�;� `7 Cl.,�. >(. I�►�: ' <br /> Site Address: a I-L*N oris r=&, P► NVI.L. 0 a <br /> City: State: ZA <br /> Zip: _ Phone: <br /> Petro - Tite Precision Line Test <br /> System Type: Pressure^-4;1 Type Q__5_1��, °r Suction ❑ Type — <br /> Piping: Steel ❑ Fiberglass`',9 Other: <br /> Secondary Containment Yes-9 No ❑ Leak Detector Yep"'fl No ❑ <br /> Pump Operating Pressure: r_ 150% Test Pressure S�+6,;' <br /> Line Isolation Method: 1-i Qv, <br /> Test Start Time: _ Test Finish Time: <br /> 15 Minute Reading Pressure Volume Net Change <br /> Product D I S SSL_.., Before After Before After <br /> 1. 2 , 0a L) oaz, <br /> 2. 6 130 OW D 03 q, 00 <br /> 3 ) 1,4 Yy r 034 U3Ci ¢you <br /> 4 ) 03 Cf -- <br /> 5.) a c: OSA <br /> Line Test Criterion Pas--,--g Fail ❑ —, Qj,5 <br /> Bleed Back Criterion--" ` as Passim Fail 114-011 <br /> Comments: <br /> 15 Minute Reading Pressure Volume Net Change <br /> Product \SNL= Before After Before After <br /> 44 _ �y7 (.t -'00 t <br /> 4.) 155 Oos -` <br /> 5. c: d u,� D ti _ L J <br /> Line Test Criterion Pass-Q Fail ❑ <br /> Bleed Back Criterion Paste® Fail ❑ UZc� <br /> Comments: <br /> 15 Minute Reading Pressure Volume Net Change <br /> Product Before After Before After <br /> 1 ) - <br /> 4.) <br /> 5.) _ <br /> Line Test Criterion Pass ❑ Fail ❑ <br /> Bleed Back Criterion Pass ❑ Fail ❑ <br /> Comments: <br /> TECHNICIAN: William Campbell - LIC. 90-1324 -SIGNATURE. )- -- -�wA---- Date:I <br />