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Vaporless Manufacturing, Inc. <br />Quality Petroleum Equipment <br />Solutions for Over 20 Years <br />LDT- 890 Test Form & VMI Warranty Checklist <br />�t <br />October 1 , 2006 <br />Test Information <br />Date: 10/30/08 Test Company: <br />EPIC Compliance Systems, Inc. <br />Telephone: (209) 832-1810 Contact: <br />Patel <br />Site I.D: Kwik Serve Address: <br />950 W. 11`h Street <br />City: Tracy State: CA <br />Zip: 95376 <br />Type of Test Equipment: LDT-890 <br />Submersible Puma Identification <br />MFG: Red Jacket Model No: <br />P 75 S1 <br />Serial No: 1101-51187-2555 <br />Leak Detector Identification <br />MFG: Veeder Root Model No: <br />331196-001 PLLD <br />Serial No: 023643 <br />Replacement Leak Detector Identification <br />MFG: Model No: <br />Serial No: <br />Line Conditions <br />1. Type of Pipe: FG 2. Diameter of Pipe: 2" 3. Length of Pipe: 175' <br />4. Burial Depth of Leak Detector: 24" 5. Kind of Fuel: 91 6. Date of Last Line Test: - <br />Test Conditions <br />1. Operating Pump Pressure: 26 2. Gallon per hour test rate: 3 @ 10 psi <br />3. Static Line Pressure (Pump Off): 21 4. Bleed back Test (Pump Off): 50 ml. <br />5. Step -through time to full flow N/A seconds (0 psi. to full pump pressure, no leak) <br />6. Leak detector stays in Leak Search Position with a 3 GPH leak -Yes: N/A PASS No: FAIL <br />7. Was the leak detector adjusted — Yes: No: X <br />PLLD disabled the line when leak was detected <br />Symptoms <br />1. Won't find 3 GPH leak: 2. Stays in Slow Flow: <br />3. Other: <br />PASS <br />************ If This Unit Is Returned Under Warranty Please Complete The Following ********** <br />Vaporless RGA#: Return By (Company): <br />Telephone: <br />Customer Control #: <br />City: <br />Contact: <br />Address: <br />State: <br />(See Website - www.vaporiess.com - Technical Bulletin 032805) <br />Zip: <br />