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416 2nd Street LEA �, <br /> Afforda—. 1 . Galt,California 95632 <br /> TECTOR <br /> 209 744-0112 800 524-9087 FAX 209 744-0116 TEST REPORT <br /> Owner/Contractor/Ens: TEST DATE: y-' ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME:Lei cle. - —Sof� <br /> � ,r a E/ )96!f-1d-0 =L.- A. Winkler Present Not Present <br /> itv- L —( I �0 <br /> Phone: Zb 2 Y J TECH SIGNATURE: INSPECTOR NAME: <br /> O erator Name: VVID OTTL # 08-173 CU 5263373-UT <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> B LD2000/E 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 INF® TION cal10T)siato <br /> 10 si <br /> Dispenser Product LLDKey Serial# Resiliency Opening Test Leak Rate Functional Metering PSINumber Time Element <br /> e inseconds Ml erMinute HoldingPSI Pass/Fail <br /> P IT <br /> C �Q -3 ),�q--7 % l P/F <br /> PAF <br /> P/F <br /> y 9/ C -'J, Z / P" F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />