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fforda-Te t 416 2"Street Phone: (209)744-0112 LINE & LEAK DETECTOR <br /> Galt,Ca 95632 Fax: (209)744-0116 TEST REPORT <br /> afforda@softcom.net <br /> CONTRACTORIENGINEER CERS # 10180561 TEST DATE 1/26/2022 <br /> SITE: ESCALON MINI MART <br /> 1097 YOSEMITE AVENUE ESCALON, CA 95320 <br /> Repair/Construction LOCATION SKETCH Show North <br /> ® Compliance ® Owners Request <br /> E] Insurance ❑ Escrow SHOW STREETS,BLDGS,TANKS,ISLANDS,PIPING(IF KNOWN),PUMPS OR DISPENSERS <br /> ® Other IN Lieu Of Shutdown <br /> Make&Type of Pump or Dispenser <br /> F. E. PETRO <br /> Cover Over Lines <br /> CONCRETE , D. W FLEX PIPE <br /> Approx Burial Depth <br /> 3 - 4 FEET <br /> Weather <br /> SUNNY , MILD <br /> Pressure ® Suction E] <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 2000 E 87 C <br /> C FXI V <br /> D FXI DV 91 E <br /> E STPMLD <br /> F STPMLD — D <br /> G STPMLD — E <br /> H I STPMLD—D/E Notes:NOT TESTED AT THIS TIME <br /> CONTRACTOR <br /> CERTIFICATION 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 /> LINE IDENTIFICATION NET VOLUME CHANGE PER HOUR <br /> OTTL License#: 04-1676 <br /> PETROTITE CERT. [-]PASS ❑FAIL ❑INCONCLUSIVE <br /> #:CCA0202112304R 87 OCTANE- .0000 <br /> ICC# 5263322 UT ®PASS [—]FAIL ❑INCONCLUSIVE <br /> Trainee: 91 OCTANE ®PASS ❑FAIL [—]INCONCLUSIVE .0000 <br /> [-]PASS ❑FAIL ❑INCONCLUSIVE <br /> EQUIPMENT: PETRO TITE LINE BOTH 87 & 91 FLEX LINES <br /> TESTER <br /> Notes:TESTING IN LUE OF SHUTDOWN CONCERNS. FOUND LEAKING METERS IN DISPENSER 7/8 <br /> LOCKED DOWN SHEAR VALVES, DECOMMISIONED DISPENSER, ALL TESTING TIGHT <br /> AFTERWARD. <br />