Laserfiche WebLink
'AL <br />®'ARCO Products Company <br />Station #3Z <br />Address <br />Mechanical Leak Detector Test Data Sheet <br />Date <br />Test Information <br />t=2Z <br />20 OZ <br />Replaced All Failed Leak Detectors Yes No N/A _ <br />If No, Replacement To Be Completed By (Date) <br />This letter certifies that the annual leak detector tests were performed at the above referenced facility <br />according to the equipment manufacturers procedures and limitations and the results as listed are to my <br />knowledge true and correct. The mechanical leak detector test pass/fail is determined using a low flow threshold <br />trip rate of 3 gph at 10 PSI. <br />inspected By: <br />Technician <br />'s (12/00' <br />Lic# <br />1 <br />2 <br />3 <br />4 <br />j <br />ProductNo <br />s , <br />Manufacturer <br />Model <br />Full Operating Pressure (psi) <br />Line Bleed Back (ml) <br />Trip Time (sec) <br />Metering Pressure (psi) <br />HE Holding Pressure (psi) <br />Test Leak Rate (ml/min) (gph) <br />PASS or FAIL <br />Replaced All Failed Leak Detectors Yes No N/A _ <br />If No, Replacement To Be Completed By (Date) <br />This letter certifies that the annual leak detector tests were performed at the above referenced facility <br />according to the equipment manufacturers procedures and limitations and the results as listed are to my <br />knowledge true and correct. The mechanical leak detector test pass/fail is determined using a low flow threshold <br />trip rate of 3 gph at 10 PSI. <br />inspected By: <br />Technician <br />'s (12/00' <br />Lic# <br />