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110rda-Tie! t <br />L10 I <br />416 2"d Street Phone: (209) 744-0112 <br />Galt, Ca 95632 Fax: (209) 744-0116 <br />afforda@softcom.net <br />LINE & LEAK DETECTOR <br />TEST REPORT <br />CONTRACTOR/ENGINEER GETTLER RYAN <br />TEST DATE 4/10/2018 <br />SITE: CHEVRON #208117 <br />755 S. TRACY BLVD. TRACY, CA 95376 <br />® <br />Repair/Construction <br />LOCATION SKETCH Show North <br />® <br />Compliance ® Owners <br />Request <br />SHOW STREETS, BLDGS, TANKS, ISLANDS, PIPING (IF KNOWN), <br />PUMPS OR DISPENSERS <br />RECEIVED <br />APR -1 <br />E N V R 0 (z<s;x;E NTAL <br />HEALTH DEPARTMENT <br />❑ <br />Insurance ❑ Escrow <br />® <br />Other POST CONSTRUCTION <br />Make & Type of Pump or Dispenser <br />F. E. PETRO <br />Cover Over Lines <br />CONCRETE <br />Approx Burial Depth <br />3 - 6 FEET <br />Weather <br />OVERCAST, COOL <br />Pressure I Suction I ❑ <br />LEAK DETECTOR <br />FTA LEAK DETECTOR TEST INFORMATION <br />Calibrate <br />10 PSI <br />Openin Test Leak I <br />KEY TYPES No/ LD Serial Resilienc g Rate Elemen <br />Product Key Number y Time In ML/Min. t <br />Second Holding <br />S PSI <br />Meterin <br />g <br />PSI <br />Pass/ <br />Fail <br />A LD 2000 <br />B LD 2000 E <br />C FXI V <br />D FXI DV <br />E STPMLD <br />F STPMLD – D <br />G STPMLD – E <br />H I STPMLD–D/E Notes: <br />CONTRACTOR <br />CERTIFICATION <br />LINE TEST RESULTS <br />Technician: Tests were made on the line systems as noted in accordance with test procedures <br />Zane A.Nimmo prescribed for as detailed on the test chart on Side 2 of this form with results as follows: <br />i•- LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br />OTTL License #: 04-1676 <br />PETROTITE CERT. <br />#:CCA0202112304R <br />ICC# 8883064 UT <br />❑PASS ❑FAIL ❑INCONCLUSIVE <br />87 OCTANE -.0040 <br />®PASS ❑FAIL E] INCONCLUSIVE <br />Trainee: <br />❑PASS ❑FAIL ❑ INCONCLUSIVE <br />91 OCTANE ®PASS ❑FAIL ❑ INCONCLUSIVE -.0040 <br />EQUIPMENT: PETRO TITE LINE <br />[:]PASS [:]FAIL PASS FAIL INCONCLUSIVE <br />Notes: <br />