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UGL o. va uC:l�p uarrie Brown (209) 461-6342 P.1 <br />14 OFA RC"O Products Company <br />Electronic Leak Detector Test Data Sheet <br />Station i4 Date � 20 <br />Address <br />Test Information <br />Comments: <br />This letter certifies that the annual leaf: 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 niy <br />111-noMedus: if -Lie arid correct. The mechanical leak detector test PaW all 19 determined usinL, a lou 110%.4 <br />ihreshold i rip rate of 3 8ph at 10 PSI. <br />inspected By. Contractor (/�%'� ��JL <br />-- hT <br />6 l.i Cis C <br />Technician__ <br />Signature <br />P,.oducr <br />a, <br />R7 anu "actu rer <br />_.. <br />l <br />— <br />I <br />N-Iodel <br />Line Educe' Hack (ml) <br />}� <br />Check Valve Holding, Pressure <br />{p_sil <br />^ <br />test Leak Rate (trl/min) (gph) <br />PASS ar ['AIL <br />i <br />Comments: <br />This letter certifies that the annual leaf: 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 niy <br />111-noMedus: if -Lie arid correct. The mechanical leak detector test PaW all 19 determined usinL, a lou 110%.4 <br />ihreshold i rip rate of 3 8ph at 10 PSI. <br />inspected By. Contractor (/�%'� ��JL <br />-- hT <br />6 l.i Cis C <br />Technician__ <br />Signature <br />