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MECH CICAL LINE LEAK RETE' -OR <br /> TEST DATA CHART <br /> fATIDN NUMBER CU ii ArrRtf MQYLL�.ET SLA cc- C - DATE: J'• / &' 03 <br /> .Location: I / I'I IA1es!- G�IA¢r�yL wav S-rbcu7rotj' 41't 9.S7-o <br /> :treat No. and/or Corner City nate <br /> ��lK- N/1L 1- 4. SGAIK PA L rel evhone No. <br /> . Owner: r;b� l33-/789 <br /> name Addrs Representative Position Telephone No. <br /> . Operator: 0 W N � XQ j <br /> Name Dealer, Mgr . / Other Address, if /�Different than Location Telephone No. <br /> . contrator or Company Making Test <br /> Mechanic(s) NAME IA1151-5 Poftra / RUssiaL XobesytS1ST�E1lc-� Sg - l2�fZ <br /> tl <br /> LEAK DETECTOR <br /> 1. MAKE: 7A ctLe3T f O 2. MAKE: hf �AcxTl / <br /> TYPE or MODEL: �X/- V TYPE or MODEL: 47» l' V <br /> SERIAL NUMBER: ! z 3`2 7- I k10 SERIAL NUMBER: O/�3T 7 - 1 i G / <br /> 3. MAKE: 4. MAKE: <br /> TYPE or MODEL: TYPE or MODEL: <br /> SERIAL NUMBER: SERIAL NUMBER: <br /> Full Opening Functional Bleed Metering Test Leak <br /> No. Operating Time Element I Back Pressure ! Rate LNO <br /> REMARKS <br /> Pressure Holding I ML/Minute <br /> PSI Seconds PSI ML PSI I GAL/HR Y <br /> 3 ,z ZOOML 1r <br /> Zv0lyl <br /> 2. -L Ps I ? y o �.2 1.Z ----_ <br /> J 3• G?# <br /> 3. <br /> 4. <br /> PETRO TITE® r � <br /> APR 0 2 2003 <br /> ENVIRONMENT HEALTH <br /> PERMIT/SERVICES <br />