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` VM1 <br /> Vaporless Manufacturing, Inc. <br /> r Quality Petroleum Equipment <br /> Solutions for Over 20 Years <br /> LDT- 890 Test Form & VMI Warranty Checklist <br /> October 1".2006 <br /> Test information <br /> Date: Test Company: Wt f JcJ, <br /> Telephone: Contact: J.11 <br /> Site I.D: AL S 5 -Nz'f" Lcn. Gr Address: i o S. Arpi <br /> City: ,4 State: CA Zip: <br /> Type of Test Equipment: e e l- <br /> Submersible`Pump Identification <br /> MFG:_ Irl Model No: P•Sbb- RH Zd127 Serial No: 717 7 /A/ ff <br /> Leak Detector Identification <br /> MFG: eta �I.�u'c� Model No: Serial No: ASF <br /> Replacement Leak Detector Identification <br /> MFG:—V MI. Model No: 147 Z.,D -2oM Serial No: oa 34:S 2 17 <br /> Line Conditions <br /> 1. Type of Pipe: 181k1r04 2 PAP 2. Diameter of Pipe: 3" 3. Length of Pipe: <br /> ( 4. Burial Depth of Leak etector: 2.5,' -5. Kind of Fuel: _kJ-/1 6. Date of Last Line Test: <br /> Test Conditions <br /> 1. Operating Pump Pressure: 3 2. Gallon per hour test rate: 3 10 psi <br /> 3. Static Line Pressure (Pump Off): -ZN � 4. Bleedback Test (Pump Off): J73-00 ml. <br /> 5. Step-through time to full flow 31 t- seconds (0 psi. to full pump pressure, no leak) <br /> 6. Leak detector stays in Leak Search Position with a 3 GPH leak -Yes: <br /> -A—PASS No: FAIL <br /> 7. Was the leak detector adjusted-Yes: No: <br /> (See Website -www.vaporiess.com -Technical Bulletin 032805) <br /> Symptoms <br /> 1. Won't find 3 GPH leak: 2. Stays in Slow Flow: <br /> 3. Other: <br /> ************ If This Unit Is Returned Under Warranty Please Complete The Following *********** <br /> Vaporless RGA#., Return By (Company): <br /> Telephone: Contact: <br /> Customer Control #: Address: <br /> City: State: zip: <br /> Vaporless Manufacturing,Inc. <br /> 8700 East Long Mesa Drive,Prescott Valley,Arizona 86314 <br /> 800-367-0185 928-775-5191 Fax: 928-775-5309 <br /> Email: vmi@vaporiess.com WebrSite: WWW.va Driess.com <br />