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` Mechanical Leak Detector Test Data Sheet <br /> JA <br /> ' ARCO Products Company <br /> Station # ��-� �'-� Date I to — i—ara 17 <br /> Address / V Z7- 11 <br /> Test Information <br /> 1 2 3 4 5 <br /> Product 7 <br /> Manufacturer <br /> Model �( -- <br /> Full Operating Pressure (psi) <br /> Line Bleed Back (ml) 20 111L- <br /> Trip <br /> 11 Trip Time (sec) <br /> Metering Pressure (psi) <br /> F/E Holding Pressure (psi) — 2? S(� <br /> ng; <br /> Test Leak Rate (ml/min) (gph) / YO' <br /> .3�. <br /> PASS or FAEL �-6 <br /> Replaced All Failed Leak Detectors Yes No N/A _ <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 5r¢� //- ! <br /> Technician 41 ,.� rr Lic# <br /> Signature L „ <br /> APC-3325(8/96) <br />