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Champion Precision Testing, Inc. <br />P. n. Box 6398, Bakersfield, CA 93386 <br />(661) 363-7400 Fax (661) 363-7474 <br />Lic # 848150 <br />Electronic Leak Detector Test Data Sheet <br />Site Name— V 4L � �_ � �_/l c � - --- - - ---- -- - -Date � � � ���i _. <br />,� , <br />Address__ <br />Test Information <br />Comments: <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 <br />threshold trip rate of 3 gph at 10 PSI. <br />Inspected By: Contractor Champion Precision Testing Inc <br />Technician1j-v,N 4, .,k<G� Veeder-Root# 19754/ <br />Service Technician # pS'7.,-yy 9- q <br />Signature�;4— 4C <br />Revision 5iOI <br />1 <br />2 <br />3 <br />4 <br />Product <br />S <br />' <br />- <br />Manufacturer <br />Model <br />Line Bleed Back (ml) <br />Check Valve Holding Pressure <br />(psi) <br />; c <br />Test Leak Rate (ml/min) (gph) <br />l i <br />3? p <br />- <br />PASS or FAIL <br />414S_5 <br />S .S <br />PASS <br />Comments: <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 <br />threshold trip rate of 3 gph at 10 PSI. <br />Inspected By: Contractor Champion Precision Testing Inc <br />Technician1j-v,N 4, .,k<G� Veeder-Root# 19754/ <br />Service Technician # pS'7.,-yy 9- q <br />Signature�;4— 4C <br />Revision 5iOI <br />