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POB 36 26515 N. SACTO. BL. <br />,-, THORNTON, CA. 95686. <br />209 794-0102 J8001 524-9087 <br />CONTRACTOR/ENGINEER <br />ORDERING TEST <br />SITE: <br />LIM& LEAK DETECTOR <br />TEST REPORT <br />TEST DATE / off.. <br />In <br />OPERATOR Station#"( OWNER <br />SITE ADDRESS,.? ADDRESS <br />PERMIT./SERVIC <br />PHONE ( Y - PHONE <br />LOCATION SKETCH <br />1w <br />LINES) ONLY U- jANK(s)-LINES <br />LINRs}LEAK DET. <br />TANK(S)-LINE(S)-LEAK DET. <br />MAKE & TYPE OF e j <br />OR DISPENSER t �J <br />COVER OVER <br />LINES !? e , 0- fe <br />APPROX BURIAL lt" <br />DEPTH a <br />WEATHER <br />PRESSIM ® SUCTION SHOW MUM, BLDC,S, TANKS ISLAND ' PIPINO OFMOW1 PUMPS OR DISPENSERS <br />A LEAK DETECTOR TEST INFORMATION Calibrate <br />ILLMDETECTOR 10 PSI <br />E <br />y TYPES: <br />XLD P/N 116036-5 <br />BFLQ (XL MODEL) <br />116039-5 <br />No. LD <br />Product x>r <br />!� <br />Serial <br />Number <br />Opening <br />Resiliency Time <br />In Seconds <br />Test <br />Leak Rate <br />J►1L/1�lin <br />$�j�✓( <br />uncteon <br />Element <br />Holdin PSI <br />dercng <br />PSI <br />Yes / <br />No <br />PLD PIN 116030-5 <br />XLP P/N 116035-5 <br />DLD P/N116017-5 <br />3 <br />;05L <br />,� <br />- <br />BFLD PIN 116012-5 <br />oTIM <br />1 Notes <br />CONTRACTORr <br />CERTIFICATION <br />ITECUMCIAM Y E . NIMP <br />S[ONATURE <br />PETR467ERT. # 090993AO <br />OfTL LIC # 94-1143 <br />TnbmName <br />Tnhw S*wft e <br />FEATURING PETR TITE <br />. I INF. TFCTFR <br />LINE TEST RESULTS <br />TESTS tfERBMADE ON 771ELINE SYS7WSASNOTED BV ACCORDANCE WITTY TEST <br />PROCEDURES PRESCRIBED POR AS DETAILED ON THE TEST CHART ON SIDE 2 <br />OF77IISIURW 9MRESUL7SASPOLLOWS: <br />LINE IDENTIFICATION NET VOLUME QMNGE PER HOUR <br />PASS / FAIL / INCONCLUSIVE _ pp <br />a M.. PASS / FAIL / INCONCLUSIVE t <br />PASS / FAIL / INCONCLUSIVE C7m, <br />PASS / FAIL / INCONCLUSIVE <br />