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416 2nd Street LEAK DETECTOR <br /> ® Galt,California 95632 <br /> 209 744-0112 800 524-9087 FAX 209 744-0116 TEST REPORT <br /> Owner/Contractor/En : TEST DATE: 2 t 5 O ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME: ► 5 cc� ® ©`V.t (� <br /> Sity, Address: 3' PGTo� !2� I TAN NAME, Zane A. MmmO Present Not Present <br /> /-OD/ <br /> Phone: p 3 TECH SIGNATURE: INSPECTOR NAME: <br /> Oj2erator Name: e OTTL # 04-t6N ICC# 5263322-UT <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B LD2000/E D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION Caliorasi <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Element <br /> Number fromabove inseco ds ML er Minute Holding PSI Pass/Fail <br /> P/F P/F <br /> y'1 J3 Z C z Z- P F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />