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VANOLESS MANUFACTUR1*1 INC. <br /> LDT-890 Leak Detector Test Record <br /> Contractor Customer <br /> 25zm'\'� A r C'k L 14 o <br /> Date Location Product <br /> l y-SSS 'o 141 L r L l <br /> Technician <br /> Submersible Pump Identification <br /> Manufacturer Model No. Serial Number <br /> A \ UCi <br /> Leak Detector Identification <br /> Manufacturer Descriotion Other Style Leak Detector <br /> (� = Diaphragm-type <br /> Piston-type _ <br /> Leak Detector in Submersible Pump <br /> Test at Dispenser <br /> 1. Operating Pump Pressure 3- psi (Purging Test System) <br /> 2. Gallons per hour rate :3 .0 (Leak Test (Phase 1) <br /> 3. Line pressure with pump shut off 2-D psi (Leak Test Phase 1) <br /> 4. Bfeedback Test with pump off 4z_,5— ml (Bleed-back Test) <br /> 5. Step-through time to full flow—_-2--seconds (Step-through Time) <br /> 6. Leak detector stays in leak search position. (Leak Test Phase 2) Yes <br /> No <br /> LEAK DETECTOR TEST <br /> Note; Pass=Leak detector stays in slow-flow during GPH test <br /> Fail=Leak detector steps through to allow full pump pressure during GPH test <br /> Pass_ <br /> Fail <br /> *Complete thermal expansion test before failing leak detector. <br /> Form 890C (May 9, 2002) <br /> 2002 Vaporless Manufacturing, Inc., Prescott Valley, AZ <br />