Laserfiche WebLink
APR 2 8 2010 <br /> 416 2"d Street &V` <br /> ""� ; -0112 LINE & LEAK DETECTOR <br /> I 110rd — Galt,Ca 95632 rF4x., I-0116 TEST REPORT <br /> afforda@softeom',net <br /> CONTRACTOR/ENGINEER M. V. P. -- GAWFCO TEST DATE 4 / 19/ 10 <br /> SITE NAME COUNTRY CLUB 76 PHONE ( ) - <br /> SITE ADDRESS 2575 COUNTRY CLUB BLVD. CITY STOCKTON CA 95204 <br /> ® I Repair/Construction LOCATION SKETCH Show North <br /> [ j I Compliance -- — -- <br /> E] Insurance 6 s <br /> Escrow <br /> —_ 5 7 <br /> Make&Type of Pump or Dispenser DIE 2 4 <br /> RED JACKET--GILBARCO 1--7 <br /> t 3 <br /> Cover Over Lines 87 <br /> CONCRETE ZZ <br /> Approx Burial Depth 10=9 <br /> 4-6 FT. STORE <br /> Weather <br /> OVERCAST, WARM _ SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN), MPS XOR DISPENSERS <br /> ® Pressure Suction 0 <br /> ]C-alibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION0 PS1 <br /> Opening Test Leak I Element <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Metering Pass/ <br /> Product Key Number Seconds ML/Min. PSI PSI Fail <br /> A LD 2000 --- — --- -- <br /> B LD 2000E _ ------ <br /> C FXI V — — — <br /> D FXI DV -- — -- <br /> E STPMLD <br /> FSTPMLD — D _ — — -- <br /> G STPMLD — E — — <br /> H STPMLD-D/E Notes: — — <br /> CONTRACTOR <br /> CERTIFICATION LINE TEST RESULTS <br /> Technician: <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 /> ZANE NIMMO LINE IDENTIFICATION — NET VOLUME CHANGE PER: HOUR <br /> PETROTITE CERT.#: 91 OCTANE PASS/FAIL/INCONCLUSIVE +/-,0000 <br /> CCA: 0202112304R <br /> OTTL License#: 04-1676 PASS/FAIL/INCONCLUSIVE <br /> Trainee: <br /> Mike Fuller PASS/FAIL/INCONCLUSIVE <br /> PASS/FAIL/INCONCLUSIVE <br /> EQUIPMENT: PETRO TITE LINE TESTER <br />