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NOW <br /> Champion Precision Testing <br /> PO Box 13059 Sacramento, Ca 95813-3059 <br /> (916) 927-1557 Fax (916) 927-7345 <br /> Mechanical Leak Detector Test Data Sheet <br /> Site Name �� y tin i� Date f<-z y-6, <br /> Address 4 915- Lo!✓c !! Q v j c Y e C� <br /> Test Information <br /> 1 2 3 4 5 <br /> Product <br /> �Z '9.aseL <br /> Manufacturer f �5�cllc/ <br /> Model tl6 OSS rid -aS6 <br /> Resiliency we Iv c <br /> Opening Time 2 <br /> Test <br /> Leak Rate (ml/min)(gp3 <br /> Metering PSI �a <br /> PASS or FAIL sf Ia�SS <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 <br /> Technician L��I�G/HC Veeder-Root <br /> Signature <br /> Revision 5101 <br />