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® <br />.Affordae$t <br />Owner/Contractor/Ens: <br />POB 36 26515 N. Sacramento Blvd. <br />Thornton, California 95686 <br />J209) 794-0102 J8001 524-9087 FAXL209) 794-0112 <br />TEST DATE: 1, <br />LEAK DETECTOR <br />TEST REPORT <br />ENVIRONMENTAL HEALTH AGENCY: <br />SITE NAME: <br />Site Address: I,) IZane <br />A. Mmmo <br />ar <br />Present Not Present <br />INSPECTORNANIE: <br />city: <br />Phone: 7 TECH SIGNATURE: <br />-012erator Name: !, OTTL # 04-1676 <br />A LD2000 <br />LEAK DETECTOR KEY <br />C FE Petro STP -MLD <br />G Red Jacket FXIV <br />B 99LD2000 <br />D FE Petro STP -MLD -E <br />H Red Jacket FXIVD <br />FE Petro STP -MLD -D <br />F FE Petro STP -MLD -DE <br />J Other <br />FTA LEAK DETECTOR TEST INFORMATION Calibrated to <br />10 osi <br />Dispenser Product LD Key Serial # Resiliency Opening Test Leak Rate <br />Number from above) Time <br />in seconds N ver Minute <br />tJ <br />Functional Metering PSI <br />Element Pass/Fail <br />Holding PSI <br />�P/)F <br />P/F <br />Eli <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 />P/F <br />E <br />1�1 <br />