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&ftm416t 2°d Street Phone : (209) 744-0112 LINE & LEAK DETECTOR <br /> Galt, Ca 95632 Fax : (209) 744-0116 <br /> afforda@softeom . net TEST REPORT <br /> A <br /> CONTRACTOR/ENGINEER GETTER RYAN <br /> SITE NAME : CHERVON CORPORATE TEST DATE 06 -21 - 19 <br /> SITE ADDRESS 3400 NORTH MACARTHUR ROAD PHONE 1209 ) 834 - 1220 <br /> CITY TRACY CA 95376 <br /> ® Repair/Construction LOCATION SKETCH Show North <br /> Compliance ❑ Owners Request <br /> Insurance ❑ Escrow <br /> Other <br /> Make & Type of Pump or Dispenser <br /> RED JACKET <br /> Cover Over Lines <br /> CONCRETE <br /> Approx Burial Depth <br /> 4-6 FEET <br /> Weather <br /> SUNNY / WINDY <br /> ® Pressure Suction SHOW STREETS , BLDGS , TANKS , ISLANDS , PIPING ( IF KNOWN) , PUMPS OR DISPENSERS <br /> Calibrate <br /> LEAK DETECTOR FTA LEAK DETECTOR TEST INFORMATION 10 PSI <br /> Opening Test Leak I Element <br /> KEY TYPES No/ LD Serial Resiliency Time In Rate Holding Metering Pass/ <br /> Product Key Number Seconds ML/Min. PSI PSI Fail <br /> A LD 2000 <br /> B LD 2000E <br /> C FXI V rl 1Z IL 0 t: <br /> D FXI DV <br /> E STPMLD All li t? <br /> F STPMLD — D <br /> G STPMLD — E - k ArZA <br /> H STPMLD.D/E Notes : - (— <br /> CONTRACTOR LINE TEST RESULTS <br /> CERTIFICATION <br /> Technician : Tests were made on the line systems as noted in accordance with test procedures <br /> Felix Ramirez prescribed for as detailed on the test chart on Side 2 of this form with results as follows : <br /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> PETROTITE CERT. # : CCA: 020303281 IC $ 7 ® PASS ❑ FAIL ❑ INCONCLUSIVE . 0000 <br /> OTTL License # : 08- 1740 91 ® PASS ❑ FAIL ❑ INCONCLUSIVE . 0000 <br /> Trainee : DIESEL ® PASS ❑ FAIL ❑ INCONCLUSIVE . 0000 <br /> ❑ PASS ❑ FAIL ❑ INCONCLUSIVE <br /> EQUIPMENT: PETRO TITE LINE TESTER ❑ PASS ❑FAIL ❑ INCONCLUSIVE <br />