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OVILff- <br />POB 36 26515 N.: SACTO. BL. LINE & LEAK DETECTOR <br />TIIORNTON, CA. 95686 <br />TEST REPORT <br />209 794-0102 J8001 <br />524-9087 <br />CON CTOR/ENGINEER 95,5; <br />TEST DA'T'E <br />ORDERING TEST 221& <br />L <br />SITE: H a N o of ' <br />OPERATOR yr e <br />y? Station# <br />OWNER <br />SITE ADDRESS Ei 161311, <br />a mt klm�, <br />r#'3 ADDRESS <br />PHONE ( ) <br />- <br />PHONE <br />REASON FOR TEST <br />y <br />LOCATION SKETCrI <br />1°" 7O1tf <br />N bt o, / 7/ 'E' <br />LWEta' ONLY rANK(a}-LINE(9 <br />LEAK DET. <br />TANX(9)41NEta�-LEAK DET. <br />3 <br />R TVPE OF Fun9P <br />OR DmMNaER ,p , <br />COVER OVER ^ <br />`/74 <br />LOW (, (y YIC /`'40f <br />APPROX BURIAL, <br />WEA71MR .)C:a F <br />% a <br />F]rA LEAK DETECTOR TEST INFORMATION <br />lenj <br />a <br />u. =./it=./trI <br />Hm' & <br />P3 �rr■rrrrrrr <br />010271mmm r e rr <br />D�■ rrre� <br />"I m0 r �� <br />Notes <br />CON CTORr LINE TEST RESULTS <br />CERTIFICATION TFCT:S II REMADE ON fnF,'UNESrSM4SASNOTIDINACCORDANCF. N7nf ?EST <br />rRWF.DURFS rREXIII®EU PUR AS DETAILED ON MR TEST CHART ON SIDE 2 <br />IECIQJIcI YO vF natstvRM rITtTIIu�sucTs rf <br />LINE IDENTIFICA TION NET VOLUME CJZ4NGE PER XOt <br />PETRO E CERT. i OM93AO163 ,p I'AS / FAIL / INCONCLUSIVE Do OM LIC If "4113 <br />PASS / FAIL / INCONCLUSIVE <br />Tobw PASS / FAIL / INCONCLUSIVE <br />TURINO M I TI tS <br />IJNF TR.RTFR PASS / FAIL / INCONCLUSIVE <br />