Laserfiche WebLink
A,FFO DA-TE$T416 <br />2nd Street Galt CA 95632 LINE & LEAK DETECTOR <br />(209) 744-0112 FAX (209) 744-0116 TEST REPORT <br />CONTRACTOR/ENGINEER <br />TEST DATE <br />SITE NAME <br />O!�_ / P —q FI <br />ADDRESS <br />LOCATION SKETCH ITASNorth <br />Compliance <br />Insurance <br />Escrow <br />Make & Type of Pump or Dispenser <br />Cover Over Lines <br />Approx Burial Depth <br />Weather <br />Pressure Suction <br />SHOW STREETS, BLDGS, TANKS, ISLANDS, PIPING (IF KNOWN), PUMPS OR DISPENSERS <br />LEAK DETECTOR <br />FTA LEAK DETECTOR TEST INFORMATION Cal'ibrab <br />10 PSI <br />Opening <br />I Element <br />LD <br />Serial <br />Time In <br />Test Leak <br />Holding <br />Pass i <br />KEY TYPES <br />No/Product <br />Key <br />Number <br />Resiliency <br />Seconds <br />Rate ML/Min <br />PSI <br />Metering PSI <br />Fail <br />A <br />LD 2000 <br />B <br />LD 2000 E <br />C <br />FXI V <br />D <br />FXI DV <br />E <br />STPMLD <br />F <br />STPMLD - D <br />G <br />STPMLD - E <br />H <br />STPMLD - D/E <br />Notes: <br />CONTRACTOR <br />LINE TEST RESULTS <br />CERTIFICATION <br />Tests were made on the line systems as noted in accordance with test procedures <br />prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br />Te nici rnmo <br />LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br />ROTITE CERT# <br />090993AO163 <br />�( <br />j . <br />PASS /)FAIL / INCONCLUSIVE <br />zoo <br />OTTL LIC# 90-1143 <br />PASS / FAIL / INCONCLUSIVE <br />PASS / FAIL / INCONCLUSIVE <br />Trainee: <br />PASS / FAIL / INCONCLUSIVE <br />EQUIPMENT: PETRO TITS LINE TESTER <br />