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• <br /> Am <br /> AFFORDA-TE$T 416 2nd Street Ga9 63 PINE & LEAK DETECTOR <br /> (209) 744-0112 FAX ( C 744- 1 TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE <br /> SITE NAME tit (�t yJ l� ;w��(1 ( ( PHONE ( ) <br /> ADDRESS t � 711f , <br /> Repair/Construction L CATION SKETCH Show North <br /> Compliance <br /> Insurance <br /> Escrow <br /> Make&Type of Pump or Dispen er <br /> Cover Over Lines <br /> (3 L--7 (-, r&�I?' <br /> Approx Burial Depth <br /> r <br /> -1/IK <br /> Weather <br /> Pressure Suction I SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN), PUMPS OR DISPENSERS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION Caii 10 PSI PSI <br /> Opening I Element <br /> LD Serial Time In Test Leak Holding Pass) <br /> KEY TYPES No/Product Key Number Resiliency Seconds Rate MLIMIn PSI Metering PSI Fait <br /> A LD 2000 <br /> B LD 2000 E I <br /> C FX!V <br /> D FXI DV <br /> E STPMLD <br /> F STPMLD-D <br /> G STPMLD- E <br /> H STPMLD- D/E Notes: <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION 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 /> T h ' ' Nimmo NE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> TROTITE CERT# ! PASS / FAIL / INCONCLUSIVE <br /> 090993AO163 <br /> OTTL LIC#90-1143 PASS / FAIL / INCONCLUSIVE <br /> Trainee: PASS / FAIL / INCONCLUSIVE <br /> PASS / FAIL / INCONCLUSIVE <br /> EQUIPMENT:PETRO TITE LINE TESTER <br />