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AFFWA-TE*T 209 794 0112 P. 05 <br /> P06 3b 265I3 N- SACTO. BL. LINE& LEAK DETECTOR <br /> THORrrTON, CA. 95686 TEST REPORT <br /> 209 794-0102 (80 524-9087 <br /> CONTRACTORIENGiNEER 9r V, � � TEST DATE <br /> ORDEMO TOT <br /> 51'I'E: �A <br /> OPERATOR C.o r 12, i 518tilDnN OWNER <br /> 5M ADDRESS r 'A 7 ,e I ADDRESS <br /> S.-LouYo e <br /> PHONE [ j - PHONE - <br /> RE SON FOR TEST LOCATION SKETCH <br /> I. 10w <br /> 124Na]ONLY ANICtBAR*N s - <br /> UNEO}LEAK DET. C 1 r <br /> TANK(d)- i E(g)-LFAK DET- V d2 A-10— <br /> - <br /> y N� <br /> aav�ar�x Plop§ rC 5 �'rob� <br /> > emu ,� rr + p,.e l ! r <br /> WM1MR 1 P"I <br /> co Cp T <br /> r <br /> PA65S1lRE SifCTIoil w sr�ala ei ods r�v+x�fa = rrrgvtl rRf+vrrn vtn�tevR ms ns <br /> LE4K DETEC OR FTA LEAK DETECT QR TEST INFORMATION O"'t"`t <br /> iQ PSI <br /> a art �n d ra <br /> It Noy LD Nivmb r Reimimcy� L"k Raee blew PSI 1Va <br /> y TWES.- <br /> Ii> d rs. e. M PSI <br /> XW PIN 11iO3" uL � <br /> PLO PITY 11 W39-S <br /> IL11 PITY 11iO3S�S <br /> DLL FIN114917-5 <br /> tR�l,D R}IM 114012-s <br /> t" -n/417 <br /> Na#ei <br /> CQ14"A it LINE TEST RESULTS <br /> CERTIFICATION r9=wE"&Wanr MUM 6T s,rsxo=4vACCVMQ-C-v WM parr <br /> FROCFDURP�'SPRFa�C'RIBiORM A8G�S7}4l M0ArTlf5lESTC'"r0X1�'T <br /> rEr�owctA�� Y Ia U �'rN►s'►� �csl++azw�� <br /> ,Damn" LINE t�1iYN77FICA TION gT VOLUME C Il MA HOUR <br /> P1tAA CiRi. Yi0993A0ti,3 1 .INCONCLUSIVE <br /> p � <br /> o r, WC IVf1.1so <br /> PASS / FAIL <br /> .�, PASS I FAIL I INCONCLUSIVE <br /> FAIL I INCONCLUSIVE ()00?) <br /> . ��nt� Tr1ir <br /> IDA5S 1 FAIT. I INCONCLUSIVE <br />