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E <br />Ll <br />RJ - LEAK DETECTOR TEST REPORT <br />Completion of this report Is required for all mechanical leak detector testing <br />Test Equipment Used <br />Make/Model TanknologY LQ",ti <br />e- <br />Type of Leak Detectors tested <br />I- AD r-:XLP BFLD <br />r- FXID r- FX2 FX2D <br />rFXlV F FX2V r OTHER <br />Name: Date of Test <br />ology : <br />Tankn <br />Technician Name (print): <br />Address: Kristopher Bell <br />11000 N Mopac Expwy #500 <br />Technician Certification #: <br />City / State: <br />Austin, TX <br />DLII <br />FX18FLD <br />Test Method Used <br />r AVO f— FrA F FXT <br />(R3 21) (R3 20) (RJ 051-272-1) <br />PLD r— B" r Fx1 <br />FX2BFLD r Fxiov r FX20V <br />Technician signature: <br />Date. z/ -i2. <br />