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Mechanical Leak Detector Test Data Sheet <br /> 'IFARCO Products Company <br /> / �� Date f 19 <br /> Station # �' <br /> co <br /> Address <br /> C.Lc .1 <br /> Test Information <br /> 1 2 3 4 5 <br /> Product <br /> Manufacturer U vtnT V k�\S-- U VVI= <br /> L92oco.d�1_LJ�7000 �l�1 CO20Vv. <br /> Model �J <br /> Full Operating Pressure (psi) ` fz- <br /> Line Bleed Back (ml) <br /> Trip Time (sec) <br /> Metering Pressure (Psi) z / <br /> F/E Holding Pressure (psi) <br /> L7 4 a 193 <br /> Test Leak Rate (ml/min) (gph) 3 <br /> PASS or FAIL <br /> Replaced All Failed Leak Detectors Yes <br /> No N/A <br /> If 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 PS . <br /> Inspected By: Contractor <br /> Technician <br /> rn Lic# <br /> Signature <br /> APL.3325(SM) <br />