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416 2nd Street LEAK DETECTOR <br /> Afforda—Te$t Galt,California 95632 <br /> 209 744-0112 800524-9087 FAX 209 744-0116 TEST PORT <br /> Owner/Contractor/Eng: TEST DATE: ,,3 0/0 ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME: G ; 4' <br /> Site Address: �l ar '. ` »gat r le . Nimmo Present Not Present <br /> City: co, <br /> Phone: ® �i "' TECH SIGNATURE: 1, s <br /> INSPECTOR NAME: 7-1! <br /> O erator Name: ' G OTTL # 97-1143 ` ICC#5249115-UT <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> E 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 INFO 10o si TION Cali vsi to <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> A above in seconds Ml erMinute Holding PSI Pass/Fail <br /> 70 WF <br /> P/F <br /> P/ <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 />