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L - LEAK DETECTONC:HhUKL,b, <br />Aftk Ask <br />CUSTOMER <br />DATE g PRO UCT CLA LOCATION �cDr . <br />TECHNICIAN <br />F ciinug:ngIRI F PIIMp IIIENTIRCATION <br />CHECK MFG. <br />RECORD SERIAL # <br />INDICATE MODEL NO. IF KNOWN <br />RED <br />TOKHEIM GILBARCO <br />BENNETT <br />DRESSER <br />WAYNE <br />SOUTH <br />A.O. SMITHWEST <br />OTHER <br />JACKET <br />MKEENE <br />CHECK TYPE <br />a <br />RED JACKET RED JACKET RED JACKET TOKHEIM OTHER <br />MODEL 116-030 MODEL 116-017 MODEL 116-011 A MODEL 585PM <br />PLD-2SEC DLD 2SEC DLD 5SEC DLD 2SEC <br />HEX HEAD HEX HEAD ROUND HEAD SQUARE HEAD <br />PRE-TEST CONDITIONS <br />VOLUME OF PRODUCT FLUSHED THRU LINE a- GALLONS <br />OTHER COMMENTS: e ,iy4 <br />I _ - -.; l 5 <br />LEAK DETECTOR INSTALLED <br />TEST AT DISPENSER <br />GENERAL LINE AND PUMP INFORMATION <br />RECORD OPERATING PUMP PRESSURE prig. <br />AIR -VAPOR TEST WITH PUMP OFF MEASURE <br />AND RECORQ IRL ML <br />IV PRESSURE STEP TEST <br />WITH BOTTOM SELECTOR IN PRESSURE STEP TEST <br />POSITION TURN ON PUMP - <br />RECORD TIME IN SECONDS GUAGE <br />NEEDLE REMAINS IN COLORED ZONE ' S SEC. <br />V 3 GALLON PER HOUR LEAK SIMULATED TEST <br />WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION <br />A) MEASURE AND RECORD VOLUME IN <br />CALIBRATED BEAKER FOR 60 SECOND TEST )-I S ML <br />8) OPEN DISPENSER NOZZLE OR PLACE BOTTOM <br />SELECTOR IN DISPENSER NOZZLE POSITION. <br />FLOW RATE OF APPROX. I1&4GAL PER MINUTE <br />WILL BE OBSERVED. <br />DOES GUAGE NEEDLE MOVE TO LOWER <br />END OF COLORED ZONE YES NOI—ell", <br />DOES FLOW RATE INCREASE TO APPROX. <br />1`h-3GAL PER MINUTE YES 1!�NO <br />C) CLOSE DISPENSER NOZZLE OR PLACE BOTTOM <br />SELECTOR IN 3GPH TEST POSITION: <br />GUAGE RETURN TO COLORED <br />ZONE YES —NO� <br />GUAGE DOES NOT RETURN TO <br />r COLORED ZONE YES /O <br />GAUGE GOES TO OPERATING <br />PRESSURE YES NO <br />LEAK DETECTOR TEST PASS <br />FAIL[� <br />PURPORA VAPORLESS FORM 880A 0 <br />LEAK DETECTOR ISOLATED <br />FROM PRODUCT UNE - TEST AT PUMP PIT <br />REFER TO LDT INSTRUCTIONS <br />III GENERAL PUMP INFORMATION <br />FLUSH LDT TESTOR <br />RECORD OPERATING PUMP PRESSURE psig. <br />IV PRESSURE STEP TEST -SUBMERSIBLE PUMP <br />REMAINS ON THRU-OUT TEST PROCEDURE <br />WITH BOTTOM SELECTOR IN PRESSURE STEP TEST <br />POSITION ROTATE ISOLATOR FULLY (CCNU) <br />RECORD TIME IN SECONDS GUAGE <br />NEEDLE REMAINS IN COLORED ZONE SEC. <br />V 3 GALLON PER HOUR LEAK SIMULATED TEST <br />WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION <br />A) MEASURE AND RECORD VOLUME IN <br />CALIBRATED BEAKER FOR 60 SECOND TEST ML <br />B) PLACE BOTTOM SELECTOR IN DISPENSER <br />NOZZLE POSITION. <br />FLOW RATE OF APPROX. 112-3GAL PER MINUTE <br />WILL BE OBSERVED. <br />DOES GUAGE NEEDLE MOVE TO LOWER <br />END OF COLORED ZONE YES NO <br />DOES -FLOW RATE INCREASE TO APPROX. <br />1lh-3GAL PER MINUTE YES NO <br />C) PLACE BOTTOM SELECTOR IN <br />3GPH TEST POSITION: <br />GUAGE RETURN TO COLORED <br />ZONE YES NO <br />GUAGE DOES NOT RETURN TO <br />COLORED ZONE YES NO <br />GAUGE GOES TO OPERATING <br />PRESSURE YES NO <br />LEAJK DETECTOR TEST PASS <br />FAIL <br />