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Afforda—Te$t <br />Owner <br />416 2nd Street <br />Galt, California 95632 <br />209 744-0112 (8001524-9087 FAX 209 744-0116 <br />TEST DATE: 1 e - <br />LEAK DETECTOR <br />TEST REPORT <br />ENVIRONMENTAL HEALTH AGENCY: <br />0 <br />• ®LEE C =- `io7" <br />, —43 i - ✓n Gane A. Mmmo <br />7 Present <br />?�.�, <br />-Mmt`' <br />resent <br />Ph2ne: TECH SIGNATU <br />O erator Name: O FNS <br />OTTL # 04- ICC # 5263322 -UT <br />INSPECTOR NAME: <br />TEAT REAM <br />PERMITISERVfM <br />LEAK DETECTOR KEY <br />A LD2000 <br />C FE Petro STP -MLD <br />G Red Jacket FXIV <br />lI LD2000/E <br />D FE Petro STP -MLD -E <br />H Red Jacket FXIVD <br />E FE Petro STP -MLD -D <br />F FE Petro STP -MLD -DE <br />J Other <br />FTA LEAK DETECTOR TEST INFORMATION <br />Calibratedto <br />10 si <br />Dispenser Product <br />LD Key <br />Serial # Resiliency Opening Test Leak Rate <br />Functional <br />Metering PSI <br />Number <br />Time <br />Element <br />Qs <br />from above <br />in seconds ML ver Minute <br />Holdini PSI <br />Pass/Fail <br />r0 <br />G <br />/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 />