HomeMy WebLinkAboutProduct Line Test 5-17-19&RQILGHQFH8676HUYLFHV,QF
16250 Meacham Road, Bakersfield, CA 93314 800-339-9930 or 661-631-3870
FINAL TEST RESULTS
ALERT 1000 / ALERT 1050 / TEI LT-3 / VMI LDT-890
CUSTOMER ADDRESS: WORK ORDER: SITE ADDRESS:
TEST DATE:
SITE CONTACT: PHONE:
TECHNICIAN: PHONE: LICENSE:
WATER IN BACKFILL: DATE & TIME OF LAST FUEL DELIVERY:
____________________________________________________________________________
TANK INFORMATION:
(WETTED)TANK 1 TANK 2 TANK 3 TANK 4
PRODUCT TYPE:
TOTAL GALLONS:
PRODUCT LEVEL:
PERCENT FULL:
TEST METHOD:
WATER IN TANK:
TANK MATERIAL:
P.S.I. @ BOTTOM:
TEST DURATION:
FINAL LEAK RATE:
TEST RESULT:
TANK
INFORMATION
(ULLAGE) U/F ONLY
ALERT 1050X ALERT 1050X ALERT 1050X ALERT 1050X
ULLAGE GALLONS:
START PRESSURE:
END PRESSURE:
TEST RESULT:
PRODUCT LINES: TEI LT-3 TEI LT-3 TEI LT-3 TEI LT-3
LINE TYPE:
START TIME:
END TIME:
TEST PRESSURE:
FINAL LEAK RATE:
TEST RESULT:
MECHNICAL LINE
LEAK DETECTORS:VMI LDT-890 VMI LDT-890 VMI LDT-890 VMI LDT-890
MODEL:
SERIAL NUMBER:
CHECK VALVE PSI:
BLEED OFF ml:
LEAK RATE TESTED:
TEST RESULT:
A) These systems and methods meet or exceed the criteria in USEPA 40CFR parts 280, NFPA 329-87 and all
applicable state codes.
B) Any failure listed above may require further action, check with all regulatory agencies.
TECHNICIAN SIGNATURE: DATE: MANUFACTURER CERTIFICATION NO:
Jaco Hill
PO Box #82515
Bakersfield, CA 93380
2007113
05/17/2019
Jaco #3367 Fastrip #640 (East)
8001 White Lane
Bakersfield, CA, 93309
Omero Garcia (661)393-7000
Bradley Seykora (661)631-3870 15-1763
0.00" 12+ hours
87 Regular
Pressure
10:15 am
10:30 am
60 PSI
0 GPH
Pass
05/17/2019 15-1763
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Confirmed functionality of the 87 LLD.
Site Address: Jaco #3367 Fastrip #640 (East) 8001 White Lane, Bakersfield, CA, 93309