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4 mAmok <br /> AFFORDA® 416 2nd Street Galt CA 95632 LINE & LEAK DETECTOR <br /> (209) 744-0112 FAX (209) 744-0116 TEST REPORT , <br /> CONTRACTOR/ENGINEERAauuag, TEST DATE ' O <br /> SITE NAME t LL-S PHONE ( Z®`J ) 3(off - 179 <br /> ADDRESS RID <br /> Lobt c 5240 <br /> Repair/Construction LOCATION SKETCH Show North <br /> X Compliance C-Sro <br /> Insurance <br /> Escrow r( <br /> Make&Type of Pump or Dispenser <br /> r <br /> Cover Over Lines <br /> �AIC <br /> Approx Burial Depth <br /> 2-3 <br /> Weather <br /> J( Pf a sure SUC iOtl SHOW STREETS,BLDGS,TANKS, ISLANDS,PIPING(IF KNOWN),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 MWMin PSI Metering PSI Fail <br /> A LD 2000 <br /> B LD 2000 E <br /> C FXI V <br /> D FXI DV <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 /> Technician:Zane A. Nimmo 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 HOUR <br /> PETROTITECERT# G ASS / FAIL / INCONCLUSIVE ®Q 2® <br /> CCA0202112304R <br /> OTTL Lic#04-1676 oc,—(" PASS / FAIL / INCONCLUSIVE t O C1 i 0 <br /> Trainee: t Oc, ASS / FAIL / INCONCLUSIVE op- <br /> PASS / FAIL / INCONCLUSIVE <br /> EQUIPMENT:PETRO TITE LINE TESTER <br />