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Mechanical Leak Detector Test Data Sheet <br /> 'ARCO Products Company <br /> �0�0 Date 7 / 19 <br /> Station # <br /> Address // '711 7 <br /> Test Information <br /> 1 2 3 4 5 <br /> Product <br /> Manufacturer o��ss �S�.t��L, Ua orLcss <br /> Model <br /> Full Operating Pressure (psi) G� <br /> Line Bleed Back (ml) 3y0 --141 <br /> Trip Time (sec) 3 - <br /> Metering Pressure (psi) /a f/ //7 /oZ <br /> FIE Holding Pressure (psi) <br /> Test Leak Rate (ml/min) (gph) 3 �!�Dh= 3.d 5 A 3&) <br /> PASS or FAIL PI / -ICs � XIS <br /> Replaced All Failed Leak Detectors Yes No N/A ZO <br /> 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 Q 7 <br /> Technician <br /> Signature -- `' <br /> APC-3;325(8/%) <br />