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MECHAICAL` LIE LEAK DETECTOR <br /> EoT DATA CHART <br /> rATION NUMBER O� DATE: <br /> Location. --6 TCI t'j1�1Q F :C_V e <br /> ,LTeet No. and/Or corner 11Ly iLaLM Telephone No <br /> Owner. <br /> Name Address Representative Position Telephone No. <br /> Operator: <br /> Name Dealer, Mgr. / Other Address, if Different than Location Telephone No. <br /> . Contrator or Company Making Test <br /> Mechanic(s) NAME -- ';'' l�1�? - ,� 1•_': <br /> t <br /> LEAK DETECTOR <br /> Iz- <br /> � • � �c ; -- Jr. <br /> 1. MAKE: �.I (— t ~ 2. MAKE: <br /> TYPE or MODEL: —' TYPE or MODEL: <br /> SERIAL NUMBER: �!i�� SERIAL NUMBER: = ' <br /> C� MAKE: <br /> 3. .1,C_' <br /> — 4. MAKE: <br /> TYPE or MODEL: TYPE or MODEL: <br /> SERIAL NUMBER: --- _ SERIAL NUMBER: <br /> Full Opening Functional Bleed Metering ] Test Leak <br /> No. Operating Time Element Back PressureRate PASS REMARKS <br /> Pressure Holding ML/Minute <br /> PSI Seconds PSI Y.L PSI i GAL/HR YES NO <br /> 2. -_ T <br /> 3. <br /> 4. <br /> PETRO TITE® <br />