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AL <br /> Mechanical Leak Detector Test Data Sheet <br /> �Pill) <br /> ®'ARCO Products Company 26 p <br /> �3 <br /> Station # c�> ' Date 5 �� 19 <br /> Address L5 <br /> Test Information <br /> 1 3> 4 5 <br /> Product �f r <br /> Manufacturer <br /> Model <br /> Full Operating Pressure (psi) <br /> Line Bleed Back (m]) 2- <br /> Trip Time (sec) <br /> Metering Pressure (psi) GL ' <br /> F/E Holding Pressure (psi) CJ <br /> Test Leak Rate (ml/min) (gph) �0f <br /> PASS or FAIL -S5 <br /> Replaced All Failed Leak Detectors Yes No N/A �— <br /> ff 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 <br /> threshold trip rate of 3 gph at 10 PSI. <br /> Inspected By: Contractor <br /> Technician ` ''v c'um Lic# <br /> Signature <br /> l <br /> APG-M25� i <br />