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DIALYSIS NORTH <br /> LDT-690 LEAK DETECTOR TEST RECORD <br /> °acility Name: 14.1e.y PE-re a <br /> Me Address: 3 yc a J Zyet c.._R rra � 7_,-LA e A Y_ <br /> i� <br /> 'acility Contact: (�A&" <br /> 'hone#: 71.05 _ ao71� - fZ20 Purging Leak Test <br /> — <br /> Test Leak Test Phase I <br /> echnician: (.,AEz - ����, � u System Bleed <br /> Step- Phase fl <br /> Through <br /> Back Test Pass J <br /> Submersible Pump Id Leak Detector Id Operating Gallons Line � w/Purcfp Time to Full Leak Detector Fail <br /> Product Pump Per Hour Pressure w, off(ml) Flow stays in Leak <br /> Pressure Rate Pump shut (seconds) Search Position <br /> Manufacturer, Model/Serial# Type Description (psi) off(psi) <br /> �e �erice lSTay.oO i/�tLr)Zcao (} <br /> ll �3o3cGaq Prsra,r 0Yu Mx/ Z'7 3 Z. Z- 3° ',>, trt `/�5 PASS <br /> �y� tr��e"m 1tTnz-ora VAI Lij20iks /� <br /> 0 ozlaizv Pitr� ca3lz dna 2-P 3 Z-7 >'u j. `f7 yt (ASs <br /> 15raz -oa rr� J,4? j Z400 <br /> )fs3CZ �� Perav az i a rZ avp',4 7, 90$ 30 � Z c� 170 ye- S 'ASS <br /> Note: Pass = Leak Detector stays in slow-flow during GPH test <br /> Fail = Leak Detector steps through to allow full pump pressure during GPH test DIALYSIS NORTH <br /> omments: P.O. Box 994434 <br /> Redding, CA 96099 <br /> (530) 229-1906 <br />