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Champion P.O. Box 13059 <br /> Sacrarnento, CA 95313-3059 <br /> Precision Tank Testing CA 800.560-9443 <br /> License No. 73848 <br /> NEV 800-949-9443 <br /> Date <br /> 1310-5 (915) 927-1557 <br /> Operator T;C-_-7e (916) 927-7345 <br /> Location <br /> Precision Leak Detector Test F.T.A <br /> XLD P/N 116036-5 XLP P/N 116035-5 BFLD (XL Model) PM 116039-5 <br /> DLD P/N 116017-5 PLD P/N 116030-5 BFLD PIN 116012-5 <br /> Directions: <br /> PRODUCT SERIAL NUMBER RESILIENCY I OPENING TEST METERING PASS FAIL <br /> AND 7iME LEAK P.S.I. <br /> TANK T I RATE <br /> z I <br /> ank' , I <br /> I I <br /> Tank I <br /> I i <br /> j1i<�lu��-c I <br /> Tank <br /> 1 I <br /> { T an;4 <br /> i <br /> Comments <br /> ��ll <br /> Tec'^,nician ( c .��ZG Cer:;`c--ticn Y o� <br />