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Champion Precision Testing <br /> PO Box 13059 Sacramento, Ca 95813-3059 <br /> (916) 927-1557 Fax (916) 927-7345 <br /> Mechanical,Leak Detector Test Data Sheet <br /> Site Nameaec/tic CDate q -2t -&C <br /> Address_ Z D ) �o Se owre M64 a 1—e <br /> c e <br /> Test Information <br /> 1 2 3 4 5 <br /> Product t <br /> Manufacturer CfPei-rD <br /> AT l'e e7",-j <br /> Model 5'1 P M1 b lit 0 5 1-.7 ' L <br /> Resiliency <br /> Opening Time <br /> Test Leak Rate (ml/min)(gp3 3 <br /> Metering PSI j 2, 13 <br /> PASS or FAIL (7S f s f p <br /> Comments: <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 PSI. <br /> Inspected By: Contractor Chamnion Precision Testing <br /> Technician Ed Stearns _ Veeder-Root # S / L t( <br /> Signature <br /> Revision 5/01 <br />