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416 2nd Street Galt CA 956 � LINE & LEAK DETECTOR <br /> AFFORDA® (209) 744-0112FAX (209) 744-M TEST REPORT <br /> CONTRACTOR/ENGINEER u TEST DATE / <br /> SITE NAME - t L-L:S PHONE ( Z6 ) 3 6 - 11,115 <br /> ADDRESS to.,3 3 E. C.-tcr2 <br /> Lo at CA 952-40 <br /> Repair/Construction LOCATION SKETCH Show North <br /> X Compliance G�S7o • <br /> Insurance <br /> Escrow V <br /> Make&Type of Pump or Dispenser y <br /> Cover Over Lines <br /> Approx Burial Depth �/ Q <br /> Weather <br /> 14W? K11 A(b <br /> Pr@ SureSUC 1011 SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN).PUMPS OR DISPENSERS <br /> AK 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 <br /> B LD 2000 E <br /> C FXI V - <br /> D FXI DV <br /> E STPMLD <br /> F STPMLD-D <br /> STPMLD- <br /> G 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 /> i <br /> Technic an:Zane A.Nlrilril0 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 /> PETROTITE CERT# '� ®G,--� JPASS <br /> FAIL / INCONCLUSIVE ®O 2® <br /> CCA0202112304R <br /> OTTL Lic#04-1676 per, FAIL / INCONCLUSIVE G( CD <br /> Trainee: 1 O! FAIL / INCONCLUSIVE <br /> � , <br /> FAIL / INCONCLUSIVE <br /> EQUIPMENT:PETRO TITE LINE TESTER <br />