Laserfiche WebLink
416 2nd Street LEAK DETECTOR <br /> A fford" a-l"e$t Galt,California 95632 <br /> 209 744-0112 (800)524-9087 FAX(209)744-0116 TEST REPORT <br /> (209)744: <br /> Jr C'r Tj� <br /> Owner/Contractor/Eng: TEST DATE: �-3 0 -6 ENVIRONMENTAL HEALTH AGENCY: <br /> SITE It/Fr.XT A <br /> NAN A - ane A. Nimmo <br /> --Sitr,Address; 19-6o xkr.4fbAi-r TF.CRNICTAN NAMP <br /> citv- -roce7Z)A1-- 12 - %- I Present Not Present <br /> Phone: ) !fi2!j !IZ:�[ft: TECH SIGNATURE: INSPECTOR NAME: <br /> 0 erator Name; OTTL 4 04-Yd< ICC# 5263322-UT <br /> LEA K DETECTOR KEY <br /> A L 200 C FE Petro STP-MLD G Red Jacket FXIV <br /> B LD20OO/E D FE Petro T - -E H Red Jacket FXIVD <br /> E 1— FE Petro STP-MLD-D <br /> Lf]_ FE Petro STP-MLD-DE J Other <br /> librated to <br /> FTA LEAK DETECTOR TEST INFORMATION Ca10 psi <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> from above) (inseconds) ML Eer Minute Holding PSI Pass/Fail <br /> P/F <br /> Lb n n? F <br /> P/F <br /> Dhr 7- 18 (P2 F <br /> P/F <br /> PIE <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />