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Oct 18 01 08: 44a Carrie Brown (20g1 461 -6342 p. 4 <br /> • LDT-890 Leak Detector Test Record <br /> Contractor <br /> Customer <br /> 6 313 <br /> Date Location Product uc <br /> Technician �s.�la� <br /> �/r n <br /> Submersible Pump Identification <br /> Manufacturer Model No. Serial Number <br /> 5:X1 G' —/l+t 5/2 el() 73! <br /> Leak Detector Ic entification <br /> Manufacturer Description Other Style Leak Detector <br /> /_04-di'.a Diaphragm-type_,..__ <br /> c;oll9/39 Piston-type :/ _ -- <br /> Tamper-proof seal installed? Yes._ No <br /> Leak Detector in Submersible Pump <br /> Test at Dispenser <br /> 1. Operating Pump Pressure psi (para. 15) <br /> 2. Gallons per hour rate _ (para. 22) <br /> 3. Line pressure with pump shut off_2_�_psi (para.23) <br /> 4. Bleedback Test with pump off—I 10 ml (para. 26) <br /> 5. Step-through time to full flow seconds(;)ara.30) / <br /> 6. Leak detector stays in leak search position_(para.42) Yes ✓ <br /> No <br /> LEAK DETECTOR TEST <br /> Note: Pass=Leak detector tits test protocol <br /> Fail= ak detector fails test protocol <br /> Pass <br /> Fail <br /> Form 890C(9-1-96) *Complete th:rrnal expansion test before failing leak detector. <br /> 1996 Vaporless Manufacturing, Inc.,Prescott Valley.AZ <br />