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-AffordaTe$t <br />Owner/Contractor/Eng: <br />sTTE N <br />Sitc Address: •I o O 1 E <br />A <br />Phone: <br />Operator Name: <br />® <br />VOSEW17u A <br />95-!>5 6 <br />- <br />POB 36 26515 N. Sacramento Blvd. <br />Thornton, California 95686 <br />209 794-0102 800 524-9087 FAX 209 794-0112 <br />TEST DATE: (6 ® <br />Zane A. Mmmo <br />TECH sTGNATURE_._ <br />OTTL # 04-1676 <br />LEAK DETECT® <br />TEST REPORT <br />ENVIRONMENTAL HEALTH AGENCY: <br />u r <br />present Not Present <br />INSPECTOR NAME: <br />LEAK DETECTOR KEY <br />A LD2000 <br />C FE Petro STP -MLD <br />G <br />Red Jacket FXIV <br />B 99LD2000 <br />D FE Petro STP -MLD -E <br />H <br />Red Jacket FXWD <br />E I FE Petro STP -MLD -D <br />LFL FE Petro STP -MLD -DE <br />J <br />I Other <br />FTA LEAK DETECTOR TEST INFORMATION Calibrated to <br />10 psi <br />Dispenser Product LD Key Serial # Resiliency Opening Test Leak Rate <br />Number Time <br />from above in seconds Mlper Minute <br />`fS 18�43; <br />Functional Metering PSI <br />Element Pass/Fail <br />Holding PSI <br />422 <br />�2I& <br />1 9 <br />P F <br />® <br />np / F <br />-W113j <br />P-/F <br />i <br />S <br />-34 �3 KPI <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />:7 <br />