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AFFORDA-TE$T POB 36 26515 N. sACTo. BL. LINE TEST <br />THORNTON, CA. 95686 REPORT <br />(209) 794-0102 (800) 524-9087 <br />TEST DATE <br />oun?JV (206)) '33t- -2 PHONE - <br />ADDRESS v W <br />SITE ADDRESS <br />(� i <br />o 2- d <br />CONTRACTOR/ENGINEER <br />ORDERING TEST <br />REASON FOR TEST h <br />, <br />LINE(S) ONLY <br />LOCATION SKETCH <br />e <br />Qappry <br />I``WNOR7f <br />T <br />LINE(S)-LEAK DET, <br />TANK(S)-LINE(S)-LEAK DET. <br />TANK -LINE <br />MAKE & TYPE OF PUMP <br />ORDIS ENSER <br />COVER OVER <br />APPROX BURIAL <br />DEPTH <br />WEATHER <br />SHOW STREET'S BLDGS, TANKS, ISLANDS, PIPING (IF KNOWN), PUMPS OR DISPEN ERS <br />` <br />LEAK DETECTOR <br />LEAK DETECTOR TEST INFORMATION <br />TYPE TESTED (CHECK) <br />1Vo. <br />Product <br />Serial <br />Number <br />Resiliency <br />Opening <br />Time <br />Test <br />beak Rate <br />ML/Min <br />Functional <br />�1 a <br />Holding SI <br />Metering <br />PSI <br />Yes / <br />No <br />XLD P/N 116036-5 <br />oa lE <br />6 <br />b <br />Q I <br />PIN 0 9-5 <br />PLD P/N 116030-5 <br />•T <br />p yI <br />�b <br />P P/N 116035-5,e <br />>© 3 <br />'{ <br />c <br />/' <br />fec <br />DLDPIN 116017-5 <br />' '�� <br />IJD%1 <br />FLD P/N 116012-5 <br />ttA <br />OTHER <br />CONTRACTOR <br />CERTIFICATION <br />LINE TEST RESULTS <br />7F.STS II�,RF. AfADE ON 7I1E LfNE SYMMSAS NOTED RV ACCORDANCE <br />PROC'BDURES PRESCRIRF.D IVR AS DETAILED ON THE TEST <br />OFTIJISR)RAI {LTTII RESULTSASFULLOIFS: <br />WffH TEST <br />CHART ON SIDE 1 <br />OTTL LIC # 91-1143 <br />PETROTITE CERT.090993A0163 <br />TECIINICInN: LYLE D. NIMMO <br />SIGNATURE 646 <br />LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br />PASS / FAIL / INCONCLUSIVE <br />N <br />PSS : " FAIL / INCONCLUSIVE <br />Li <br />:M/ FAIL / INCONCLUSIVEC2 <br />U <br />-FEA71PING O <br />LINE TESTER <br />PASS / FAIL / INCONCLUSIVE <br />