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V"ORLESS MANUFACTURING, INC. <br /> Com LD1-890 Leak Detector Test Record <br /> Custorr�r <br /> O <br /> Date LocationU - �� <br /> /2- -Q Product e7a <br /> M—fir Submersible Pump Identification <br /> Mom. <br /> »i <br /> Serial <br /> Number. <br /> Mianuba_ cam— Leak Detectorldentitication <br /> Desch n <br /> —= Diaplrragrrrtype Other Style Leak Detector <br /> ! 9 5 P, �tziston-type <br /> P� ✓ <br /> Leak Detector in Submersible Pump <br /> Test at Dispenser <br /> h' Operating Pump Pressure psi (purging Test System) <br /> 2. Gallons per hour rate_`3, <br /> � .(Leak Test(Phase 1) <br /> 3. Line pressure with pump shut off Z <br /> si (Leak Test Phase 1) <br /> 4. Bleedback Test with pump off <br /> ml (Bleed-back Test) <br /> 5. Step-through time to full flow 1Q2 <br /> econds(Step-through Time) <br /> 6. Leak detector sNctr b041AO) (Leak Test Phase 2) Yes <br /> No <br /> LF.ah{DETECTOR TEST <br /> ze. Pass=Leak detector stays in slow-flow during GPH test <br /> Fail=Leak defectors"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 />