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' Mechanical Leak Detector Test Data Sheet <br /> 'ARCO Products Company <br /> Station # Date / �- 19 <br /> Address �s '� IG 6e'SG <br /> 1'a <br /> 1 <br /> Test Information <br /> 1 2 3 4 5 <br /> Product u,,( L <br /> Manufacturer <br /> Model � - <br /> Full Operating Pressure (psi) a <br /> Line Bleed Back (ml) � flQ� <br /> Trip Time (sec) 3 <br /> Metering Pressure (psi) <br /> F/E Holding Pressure (psi) �; •, /� <br /> Test Leak Rate (ml/min) (gph) n `NGS L <br /> PASS or FAIL ✓ ,,9 jr� <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 PSS-I.. 7� <br /> Inspected By: Contractor `K ��y 6LA-"-g <br /> Technician <br /> �"' �L-57121, Lic# <br /> Signature <br /> APC-3325(8/96) <br />