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POB 36 26515 N. Sacramento Blvd. LEAK DETECTOR <br /> ® Thornton, California 95686 <br /> AffordaTe$t 209 794-0102 <br /> 800 524-9087 FAX 209 794-0112 TEST PORT <br /> Owner/Contractor/Eng: TEST DATE: ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME: . <br /> 0 Lyle D. Mmmo present FT�Not Present <br /> Phone: 1- TECH SIGNATURE: '7� INSPECTOR NAME: <br /> Operator Name: :',L s' �ra � OTTL# 97-1143 <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B 99LD2000 D FE Petro STP-MLD-E H Red Jacket F <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE Jj Other <br /> FTA LEAK DETECTOR TEST INFORMATION Ca7ibra—t@ to <br /> 10 psi <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> from above in seconds Ml per Minute Holding PSI Pass/Fail <br /> F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />