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11 <br />A <br />416 2nd Street LEAK DETECTOR <br />.. Galt, California 95632-Aff6rdaTTEST REPORT <br />209 744-0112 800 524-9087 FAX (2091744-0116 <br />Owner/Contractor/Eng: TEST DATE: w d O ENVIRONMENTAL HEALTH AGENCY: <br />SITE NAME: -- <br />1a®, <br />Phone: <br />Oerator Name: <br />. IS�z DaAd A. Winkler <br />S r TECH SIGNATURE: <br />OTTL # 08-17 9 ICC# 5263373 -UT <br />Present Not Present <br />INSPECTOR NAME: <br />A LD2000 <br />C <br />LEAK DETECTOR KEY <br />FE Petro STP -MLD <br />G Red Jacket FXIV <br />v <br />B LD2000/E <br />t. <br />D <br />FE Petro STP -MLD -E <br />H <br />Red Jacket FX1 VD <br />E <br />FE Petro STP -MLD -D <br />F <br />FE Petro STP -MLD -DE <br />J <br />Other <br />FTA LEAK DETECTOR TEST INFO TION <br />a Caii psi to <br />10osi <br />Dispenser Product <br />Number <br />LD Key Serial # <br />above <br />esiiiency Opening Test Leak Rate <br />•m <br />MIerMiute <br />Functional Metering PSI <br />Element <br />Ho <br />'Papss/FFa <br />ifrom <br />P/F <br />P/F <br />5—¢ 61 Z> 4 <br />i - <br />1 <br />6D F <br />it P/F <br />P/F <br />P/F <br />P/F <br />a <br />P/F. <br />P/F <br />I= P/F <br />i <br />