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"ARCO Products Company <br />Station # / I Z <br />Address :3 2 / ? <br />Mechanical Leak Detector Test Data Sheet <br />Date f "17 19 <br />Test Information <br />Replaced All Failed Leak Detectors Yes No N/A- <br />If <br />/A_If No, Replacement To Be Completed By (Date) / <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 --) <br />Technician <br />Signature <br />APC -5325 (8196) <br />Lic# <br />1 <br />2 <br />3 <br />4 <br />5 <br />Product <br />Manufacturer <br />C Q>,,-\ <br />Model <br />Full Operating Pressure (psi) <br />Line Bleed Back (nil) <br />Trip Time (sec) <br />Metering Pressure (psi) <br />HE Holding Pressure (psi) <br />Test Leak Rate (ml/min) (gph) <br />PASS or FAIL <br />Replaced All Failed Leak Detectors Yes No N/A- <br />If <br />/A_If No, Replacement To Be Completed By (Date) / <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 --) <br />Technician <br />Signature <br />APC -5325 (8196) <br />Lic# <br />