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POB 36 26515 N. SACTo. BL. LINE & LEAK DETECTOR. <br />Af farba-Trof THORNTON, CA. 95686 TEST REPORT <br />(209) 794-0102 (800) 524-9087 <br />CONTRACTOR/ENGINEER <br />ORDERING TEST <br />TEST DATE <br />SITE: Fj-jq mE L- i Quo rz <br />OPERATOR (2>p �� Station# <br />OWNER <br />SITE ADDRESS 13 b i L�, , <br />ADDRESS <br />,w OX_ <br />TANK(s)-L1NE(s)- <br />PHONE 2o-? 3�� - 3 3 - <br />PHONE - <br />REASON FOR TEST <br />LOCATION SKETCH <br />S'T C7 P- E, <br />F/4-/- <br />p o <br />1p <br />P "'log <br />e4,11 3 <br />K���-Ki1�! -- --- a — - -- <br />SHO SIRES TAN ISLANDS PIPING F PUMPS OR DISPENSERS <br />LINE(S) ONLY <br />TANK(s)-L1NE(s)- <br />LINE(s)-LEAK DET. <br />TANK(S)-LM(S)-LEAK DET.© <br />MAKE do TYPE OF PUMP <br />OR DISPENSER <br />COVEROVER ,�t¢. <br />LINES t c ' T+� <br />APPROX BURIAL <br />DEP'T'H <br />WEATHER C�Ac� % .2 dC/L n <br />PRESSURE <br />SUCTIONKNOWN).:— <br />LEAKDETECTOR <br />FTA LEAK DETECTOR TEST INFORMATION Calibrate <br />10 PSI <br />E <br />y <br />TYPES <br />No. <br />LD <br />Serial <br />Number <br />Resiliency <br />Openin <br />Time <br />In Seconds <br />Test <br />Leak Rate <br />M in <br />unctions <br />Element <br />HoldingPS <br />Metering <br />PSI <br />yes / <br />No <br />Product HEY <br />XLD P/N 116036-5 <br />St,(.P <br />IBFLD <br />y �° j `� 2 <br />/ <br />CU <br />Y <br />(XL MODEL) <br />P/M 116039-5 <br />C <br />PLD P/N 116030-5 <br />XLP P/N 116035-5 <br />- <br />DLDP/N116017-5 <br />3 <br />i''LS <br />A <br />��z9z <br />vr- --- <br />� /� <br />v-- 6) <br />BFLD P/N 116012-5 <br />OTIf1<R <br />Notes <br />CONTRACTOR <br />CERTIFICATION <br />LINE TEST RESULTS <br />TF_= iFF-RA A4ADF ON THELINF. SYSTFMS AS N07ED INACCORDANCE KM TEST <br />PROCEDURES PRESCRIBED ITER ASDETAILFD ON THE TEST CHART ON SIDE 2 <br />OF7711SMI?Af f,7T11RESUL7SASFVLL0n <br />TECHNICIAN: YLE D. N MO <br />sICNATURs ' <br />f ?�l�d <br />PETR RT. # 93A0163 <br />OTTL LIC # 97-1143 <br />T�xN. 2 f}, /(/,�,,�m� <br />LINEIDENTIFICATION NET VOLUME CHANGE PER HOUR <br />�' i"I :� <br />(PAS-,)/ FAIL / INCONCLUSIVE <br />C � <br />l� <br />PASS)/ FAIL / INCONCLUSIVE <br />COCZ' <br />T"°1O°s*°I'°` <br />2<3 <br />=PASS/ FAIL / INCONCLUSIVE <br />FEATURING PETRO -TITS <br />LINE TESTER <br />PASS / FAIL / INCONCLUSIVE <br />Z <br />