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LEAK DETECTOR TEST <br /> Date: <br /> J <br /> S No. : S S <br /> DBA: <br /> v / <br /> ntractor: AAGA <br /> Job No. <br /> F' 'id by - Name: �GfK�' Zoo, <br /> y (Print) 9 ature <br /> Full Line Simulated Line <br /> educt Pumpblock Mode — Pressure (PSI ) Leak Test Seals Corrections Mad( <br /> IU u <br /> ! O - Outside a r. �. o Leak Detector <br /> M - Middle o n ! o U3 o n Open Close & Impact <br /> � � . � , pact Valve <br /> I - Inside .o b = �o a 1 a ,'Max. 12 Min. 26 Pass ' Fail (Date) <br /> 1V-4 e4 .4 u .+ <br /> O .-4 <br /> lar <br /> ✓ , <br /> ier i 2C1 t . <br /> 4 <br />