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RJ - LEAK DETECTOR TEST REPORT <br />completionof this report is required for all mechanical leak detector testing <br />Valero Location <br />j <br />__.._ .. _......... _...... <br />Store # <br />&41 <br />Address <br />1210 E. HAMMER LANEP WEST <br />LANE <br />City / State, <br />STOCKTON, CA <br />Testing Company <br />"Name. <br />Tanknology <br />Address�.. <br />11000 N Mopac Expiry #500 <br />City / State <br />Austin, TX <br />L__ <br />_ .M ....................... <br />Date of Test m <br />� TechnicianName (print): <br />Kristopher Bell <br />�Technician Certification <br />i <br />Test Equipment Used <br />j <br />il <br />Make/Model .Tanknolo9y,LQT-50110, r AVO <br />(R3 21) <br />Type of Leak Detectors tested <br />Test Method Used <br />r FTA r FXT <br />(R3 20) (RI 051-272-1) <br />l XLD <br />!" <br />Technician <br />I"" XLP <br />l� <br />BFLD <br />F DLD PLD i- BFLD <br />C_ FX1 <br />FX1.D <br />FX2 <br />p <br />F FX2D <br />I" FX18FLD FX2 FLO r FX1DV <br />i` FX2DV <br />FXIV <br />FK2V <br />r OTHER <br />iTEST <br />INFORMATION <br />JULUL+ <br />SSU <br />Leak <br />Det.,., a <br />actor Serial <br />Type (see Number <br />._ ��.. <br />Resiliency Func Element Opening Test Leak <br />(check valve p g Metering <br />( rr ) bate: VmIn <br />Pass Qr <br />aTE above) <br />Holding PST Time (sec} or gal/hrM PST <br />Faii <br />,. <br />f � ; <br />L L_ <br />I F -x'/ <br />G2.ip. <br />� i <br />.., <br />.., <br />.......... ...,,.�,. <br />.m.......,,.. ,. .....,._„ <br />9 -7 <br />,..... _ „,,,,,,,.,... ........., <br />F /1 <br />_ .... .............. m,,,_,.. _._ (i <br />ate. ,,... <br />_ _ <br />31 <br />3 <br />6 <br />7 <br />.. / <br />i <br />...,..,. .... �_.-.�.. --tee...,. ,. ..........,........� <br />v <br />. _. <br />z,-,., � ---------- <br />TechnicianSignature: <br />Date *. 21 -It <br />wr 2304275 <br />