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J <br /> RECHWED <br /> jAM 14 2003 <br /> ENVIRONMENT HEALTH <br /> PERT.A!T/SERVIPF* <br /> CHAMPION PRPi CISION TESTING, INC <br /> P. O. Box 6388 BakarsReid, CA 83386 <br /> (661)FAX7 00 800)660-9443 <br /> 474 <br /> Contractor tU8150 <br /> TS 1000 Mechanical Leak Detector Test Data Sheet <br /> Site Name dUc /C 1 7 <br /> Address 707 kc <br /> Test Information <br /> Pfaded tmk!)elector Serial Rmnher Line Seedng New Flow Flow Rata Resiliency Pass or <br /> Model Psi PSI PSI 0 10 PSI Fait <br /> 4f-7 Ste-A-.Li1 -7/01tS3 Z7 V-0 j 2 < Z- 313o17.7r_ 45-7 <br /> i sTP- LD iciISo 24. l IZ < z / -n � L ,ary <br /> 1CSFL 5?P-MLU -D n-7011297 O -�J /'Z < 3 oLs��L f}SS <br /> Comments: '4 t L L c (2 ,;5 k�45 5 <br /> This letter certifies that the leak detector test(s) were performed at the above referenced facility according to the <br /> equipment manufacturers procedures and limitations and the results as listed are to my knowledge true and <br /> correct. The mechanical leak detector test pass/fi fl is determined using a low flow threshold trip rate of 3 gph at <br /> 10 PSI. <br /> Inspected By: Contractor-- <br /> -4' 2 ,S -_)ZO 3-7[=0 <br /> ontractor_-4' 2ij3zo3760 , 0g�89/y-.ri <br /> Technician XLuiej I, ef /L&,egyJ Signature 4e4—�' <br /> Date /1/-;2-tZV7 Time /i o0 <br />