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® <br />Allordae't <br />Owner/Contractor/Ens: <br />SITE NAME: a_ �. l ! t , f... <br />Phone: <br />Operator Name: <br />POB 36 26515 N. Sacramento Blvd. <br />Thornton, California 95686 <br />209 794-0102 J8001 524-9087 FAX 209 794-0112 <br />TEST DATE: f J i ®-Q <br />Lyle D. MMM® <br />,, -- <br />TECH SIGNATURE: ' <br />OTTL # 7-1143 <br />LE DETECTOR <br />TEST REPORT <br />ENVIRONMENTAL HEALTH AGENCY: <br />� u c <br />Present Not Present <br />INSPECTORNAME: <br />A LD2000 <br />LEAK DETECTOR KEY <br />C FE Petro STP -MLD <br />G Red Jacket FXIV <br />B 99LD2000 <br />D FE Petro STP -MLD -E <br />H Red Jacket FXIVD <br />E FE Petro STP -MLD -D <br />F FE Petro STP -MLD -DE <br />J Other <br />FTA LEAK DETECTOR TEST INFORMATION Calibmtedtd <br />Io s; <br />Dispenser Product LD Key Serial # Resiliency Opening Test Leak Rate <br />Number Time <br />from above in seconds MI er Minute <br />Functional Metering PSI <br />Element <br />Holdin PSI Pass/Fail <br />—S ) z (Pl <br />P/F <br />Z <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />!I <br />