Laserfiche WebLink
fqtCVEjV <br /> ED <br /> fv'u V U gulf <br /> EivVikUNMS <br /> pE,qA#1N TAL Z H TH <br /> E4!j' <br /> A nds rim <br /> 416 2"Street Phone:(209)744-0112 LINE & LEAK DETECTOR <br /> rda. IV L Galt,Ca 95632 Fax:(209)744-0116 TEST REPORT <br /> afforda@softcom.net <br /> CONTRACTOR/ENGINEER <br /> SITE NAME:LODI MEMORIAL HOSPITAL TEST DATE 10-26-17 <br /> SITE ADDRESS 975 S FAIRMONT PHONE (209)339-7667 <br /> CITY LODI CA 95240 <br /> Repair/Construction LOCATION SKETCH Show North <br /> Z Compliance [:1 Owners Request <br /> F-] insurance El Escrow <br /> IJ Other <br /> Make&Type of Pump or Dispenser <br /> REDJACKET <br /> Cover Over Lines <br /> CONCRETE <br /> Approx Burial Depth <br /> 3-5 FEET <br /> Weather <br /> SUNNY <br /> ZI Pressure I SUCtIOn SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION 10 PSI <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 2000 E <br /> C I FX1 V <br /> D FXI DV <br /> E STPMLD <br /> F STPMLD — D <br /> G STPMLD — E <br /> H I STPMLD—D/E Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION <br /> Technician: Tests were made on the line systems as noted in accordance with test procedures <br /> Felix Ramirez prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> 0 LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> PETROTITE CERT.#: CCA:0203032811C DIESEL ®PASS []FAIL []INCONCLUSIVE .0000 <br /> OTTL License#:08-1740 []PASS FIFAIL []INCONCLUSIVE <br /> Trainee: []PASS MFAIL EIINCONCLUSIVE <br /> JOSH POWELL []PASS []FAIL EIINCONCLUSIVE <br /> EQUIPMENT: PETRO TITE LINE TESTER [--]PASS []FAIL DINCONCLUSIVE <br />