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A r d t <br />416 2nd Street <br />Galt, California 95632 <br />LEAK DETECTOR <br />o a -T- el") <br />209 744-0112 800 524-9087 FAX 209 744-0116 <br />TEST REPORT <br />Owner/Contractor/Eng: <br />TEST DATE: a <br />ENVIRONMENTAL HEALTH AGENCY: <br />SITE N /e- 4 <br />cite pg" AGS►` <br />QP1 $ <br />Present Not <br />Present <br />T <br />Phone: D <br />TECH SIGNATURE: <br />INSPECTOR NAME: "t <br />0 erator Name: <br />OTTL # 04- 6 ICC # 5263322 -UT <br />LEAD DETECTOR KEY <br />A LD2000 <br />C FE Petro STP -MLD <br />G Red Jacket FXIV <br />LD20 <br />D FE Petro STP- D -E <br />H Red Jacket FXIVD <br />E FE Petro STP- D -D <br />F FE Petro STP -MLD -DE <br />I J Other <br />FTA LEAK DETECTOR TEST INFORMATION <br />Calibratedto <br />io si <br />Dispenser Product LD Key Serial # Resiliency Opening Test Leak Rate <br />Functional Metering PSI <br />Number <br />&omabove <br />Time <br />in seconds ML per Minute <br />Element <br />Holdin PSI <br />PasS/�"'all <br />7 <br />tQ i an A <br />30 2. <br />PF <br />PiF <br />c <br />9 t s <br />2I °2 <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />P/F <br />PiF <br />PiF <br />