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416 2nd Street Galt CA 956F* LINE& LEAK DETECTOR <br />AFFORDA-TE$T4 209) 744-0112 (209) 744-0116 TEST REPORT <br />CONTRACTOR/ENGINEER <br />i <br />8111- ! 91► <br />TEST DATE E o--° o <br />PHONE(' <br />Compliance `' <br />LOCATION SKETCH Show North <br />Repair/Construction <br />Insurance <br />Escrow <br />Make &g Type of Pump or Dispenser <br />/D %�c►1-Ief <br />Cover Over Lines <br />�0tl(.. � <br />Approx Burial Depth <br />a <br />Weather <br />SHOW STREETS, BLDGS, TANKS, ISLANDS, PIPING (IF KNOWN), PUMPS OR DISPENSERS <br />Pressure Suction <br />Calibrated to 3 gph @ 10 psi <br />FTA LEAK DETECTOR TEST INFORMATION Calibrate <br />10 PSI <br />LEAK DETECTOR KEY <br />Disp # / LD Opening Leak Functional <br />Time Rate Element Metering <br />Product Key Serial Number Resiliency In Seconds MUMin Holding PSI PSI Pass / Fail <br />A <br />LD 2000 <br />l <br />P / <br />B <br />LD 2000E <br />f <br />I <br />_702 <br />2- <br />C <br />FXI V <br />P / F <br />D <br />FXI DV <br />3 <br />0 <br />F f-, <br />p/ F <br />E <br />STPMLD <br />P / F <br />F <br />STPMLD - D <br />P / F <br />G <br />STPMLD - E <br />E, <br />P / F <br />H STPMLD - D/E <br />Notes: /.-�� <br />CONTRACTOR <br />.r`�� <br />LINE TEST RESULTS <br />CERTIFICATION <br />Tests were made on the line systems as noted in accordance with test procedures <br />Technician: Lyle D. Nimmo <br />prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br />-7 9 <br />LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br />PEFROTITECERT# <br />/FAIL <br />D90993AO163 <br />PASS / INCONCLUSIVE z <br />�F <br />PASS / FAIL / INCONCLUSIVE <br />DTTLLic# <br />PASS / FAIL / INCONCLUSIVE <br />Trainee: <br />PASS / FAIL / INCONCLUSIVE <br />:QUIPMENT: PETRO TITE LINE TESTER <br />