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AFFORDA-TE$T 416 2nd Street Gait CA 956326 LINE & LEAK DETECTOR <br /> (209) 744-0112 FAX (209) 744-0116 TEST REPORT <br /> CONTRACTOR/ENGINEER TEST DATE -2 <br /> 07 <br /> SITE NAME <br /> PHONE (c-,7-11 <br /> ADDRESS —8 32 <br /> Repair/Construction LOCATION SKETCH <br /> Show North <br /> Compliance <br /> Insurance <br /> Escrow f b a 'nn? <br /> Make&Type of Pump or Dispenser <br /> XES <br /> Cover Over Lines <br /> Approx Burial Depth <br /> Weather <br /> � /Y Jr- <br /> Pressure Suction FISHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KN6ffl'), PUMPS OR DISPENSERS <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION Calibrate <br /> - 10 PSI <br /> Opening I Element <br /> LD Serial Time In Test Leak Holding Pass <br /> KEY TYPES No/Product Key Number Resiliency Seconds Rate MUMin PSI Metering PSI Fail <br /> A LD 2000 Metering PSI <br /> B LD 2000 E <br /> C IFXIV <br /> D FXIDV <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 /> Technici n:4y prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER UR <br /> -7 Pit 7_t �4, <br /> PETRO TE CERT# ASS FAIL / INCONCLUSIVE 090993AO163 OTTL ASS FAIL 0 <br /> Licft 97-1143 SS IL <br /> PASS FAIL / INCONCLUSIVE <br /> SS IL <br /> Trainee: 7 <br /> PASS FAIL / INCONCLUSIVE <br /> PASS / FAIL / INCONCLUSIVE <br /> EQUIPMENT:PETRO TITS LINE TESTER- <br />