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C"HAMPION PRECISIMN TESTING, INC. <br />P. O. Box 6398, Bake eld, CA 93386 <br />(661) 363-7400 (800) 660-9443 <br />FAX (661) 363-7474 <br />Contractors #848160 <br />Mechanical Leak Detector Test Data Sheet <br />Site Name Ce. ( i — �, ,._tet e c, t igl- Date 2 " - <br />Test Information <br />This letter certifies that the annual leak detector tests were performed at the above refeaenced 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 sow <br />threshold trip rate of 3 gph at 10 PSI. <br />�a•�� r .� :� �•�•t: r • �1 :tlti.L •.l ii-� .tom• 1 ,.;1,�i. <br />Techs is is <br />Signature <br />Revision smI <br />1 <br />2 <br />3 <br />4 <br />5 <br />Producdy1,� <br />MenufBCt<Yef <br />lze J '+ =r c A'! <br />Model <br />IN 1� <br />/ i ` - c/ s"t' <br />ResilW" <br />I(:S, u <br />5,-,' <br />f 0 0 <br />Opening Time <br />Test Leak Rate (ml/min) <br />Metering PSI <br />I `l <br />PASS or FAII. <br />This letter certifies that the annual leak detector tests were performed at the above refeaenced 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 sow <br />threshold trip rate of 3 gph at 10 PSI. <br />�a•�� r .� :� �•�•t: r • �1 :tlti.L •.l ii-� .tom• 1 ,.;1,�i. <br />Techs is is <br />Signature <br />Revision smI <br />