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e �� <br /> 10�„/ P E OAST PRODUCTS LLC <br /> MECHANICAL LEAK DETECTOR TEST DATA SHEET <br /> Station # a'1 Date 3/a-S/03 20 <br /> Address <br /> TEST INFORMATION <br /> 1 2 3 4 5 <br /> Product I I <br /> Manufacturer v IL <br /> Model Q l(® - p0 <br /> Full Operating Pressure (psi) 30 <br /> Line Bleed Back (ml) <br /> Trip Time (sec) ,v <br /> Metering Pressure (psi) 1 16 <br /> F/E Holding Pressure (psi) <br /> Test Leak Rate (ml/min) (gph) Ivi 13, 0 rig hl,{� <br /> PASS or FAIL '14S6 A551 <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 according to the <br /> equipment manufacturer's procedures and limitations and the results as listed are to my knowledge true and correct. <br /> The mechanical leak detector test pass/fail is determined using a low flow threshold trip rate of 3 gph at 10 PSI. <br /> Inspected By: Contractor l a6 t F—NUt(°t,1yy)*-r1q/ sV6- eems <br /> Technician rG�I HN2 Lic# <br /> Signature <br /> APC-3325 (9{02) <br />