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01/30/97 10:49 N0.466 D07 <br /> Aid 1�6 <br /> ARCQ Products Company <br /> Mechanical Leak Detector Test Data Sheet <br /> Station # ( Date <br /> Address <br /> t <br /> Test Information <br /> 1 2 3 4 I 5 <br /> Product <br /> Manufacturer V 1 <br /> Model <br /> Full Operating Pressure (psi) <br /> Line Bleed Back(m1) <br /> Trip 'i ime (sec) zj <br /> Metering Pressure (psi) lV <br /> F/E Holding Pressure (psi) f <br /> Test Leak Rate (m.Umin) (gph) I lc �A <br /> PASS or FAIL <br /> Comments: R Q-d;e�1 'A;6� Lo 1I S <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 Lic# CAD 1 V� <br /> Signature ki-57Z,- P"��7 <br /> Rsvisioo 12/95 <br />