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POB 36 26515 N. SACTO. BL. Li°iE & LEAK DETECTOR <br />THORNTON, CA. 95686 TEST REPORT <br />(2091794-0102 (8001524-9087 <br />CONTRACTOR/ENGINEER. TEST DATE / L --Z® p <br />ORDERING TEST <br />OPERATOR K A EZ - station# OWNER <br />SITE ADDRESS 3 ADDRESS <br />:5 - To n a CIS <br />PHONE ( ) - PHONE> (, ) <br />REASON FOR TEST LOCATION SKETCH � n <br />il5 L' <br />LIlVE(a) ONLY `rANK(s)-LtNE(s ® ID <br />UNE(s}LEAK DET. ro r r e L <br />OSS. <br />TANK(s)-L1NE(s}LEAK DET. <br />MARE t TYPE OF PUMP L- 13 <br />ORDEPENSER �' Z <br />COVER OV ER <br />Lim Co to c- T -C of5 <br />� <br />H EtrRIAt <br />t, r <br />MAIM l b c=&i Y. y�12A,pRassm � <br />CS�1GG s <br />SUCTION SNDW StREE7S 8Lot3S tANR3 f D nP:M F oWN Pl1AtPsoRDfSPt ddsERS <br />L TE LEA ECT TEST INFORMATIONTcalibrate} <br />10 I <br />No. LD Serial ung Test an a d ' g Yes/ <br />Kar Number Resiliency a Leek Rafe Element I o <br />TYPES. Product / In Ssconds f101dln I'lS/ <br />XLD Pin 116036-3 t RLA 2,089 ! 7 �o S l g9 3 ! (p yes <br />PM I Loom - <br />PLD P/N 116030-5 2 IN -14 S <br />XLF PIN 116035-5 ` <br />LD PM116017-5 DN, I®Sgs 9 �Y L S 2. l i �, 1-7 it <br />BFLD PIN 116012-5 <br />Notes <br />CON17ACTOR LINE TEST RESULTS <br />CERTIFICATION 7FST.S IIFM.AMDEONTTIEI.INES}S7EWSASNOTIDINACCORDANCEWn7i7Ei'T <br />RROCEVORIMPRESCRIBED FOR AS DETAILED ON THE Tor CHART ®NS 92 <br />TEcmmcm: LYLE D. N O Or-WISrvRAS It9T 1 AESULTSASFVLWIM <br />uONA' LINE IDENTIFICATION , <br />NET VOLUME CHANGE PER HOUR <br />PBTRU B CERT. it QM93A®163 G L4 ASS / FAIL / -INCONCLUSIVE <br />O(TL LIC N H4143 <br />N L A / FAIL / INCONCLUSIVE X07 O <br />ndmL- / FAIL INCONCLUSIVE <br />— p <br />PEA INO PETR -TI E <br />R PASS, i .FAIL / INCONCLUSIVE _ <br />