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POB 36 26515 N. Sacramento Blvd. LEAK DETECTOR <br /> Aftorlda—Te$t Thornton, California 95686 <br /> 209 794-0102 800 524-9087 YAX 209 794-0112 TEST PORT <br /> Owner/Contractor/Eng: TEST DATE: 5 Zi4e> ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME: /kM/L(a M/,W/ - <br /> -.Site Address- MOY IIIA77MC-PL- Zane A. Nimmo <br /> Present Not Present <br /> Phone: '2 cog TECH SIGNATURE: <br /> INSPECTOR NAME: <br /> Operator Name: I oTTL # 04-&W ICC# 5263322-UT <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 FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFORMATION Calibrated to <br /> 10 si <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> frornabove in seconds MLer Minute Holding PSI Pass/Fail <br /> /5-0 <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 /> P/F <br />