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VM1 0 RECEWED <br /> Vaporless Manufacturing, Inc. <br /> Quality Petroleum Equipment DEC2017 <br /> Solutions for Over 20 Years <br /> LDT- 890 Test Form & VMI Warranty Che W1I10Ni%IENTAL HEALTH <br /> October 1", 2006 DEPARTNIENT <br /> Test Information <br /> Date: I Z/Zo/I n Test Company: 1E Lr r€X1-. <br /> Telephone: Contact: <br /> Site I.D:5rteL4__ Address: IG500 HAftPl' 9D <br /> City: LArK"? State: CA Zip: 9533rD <br /> Type of Test Equipment: 89®"6ltiz- <br /> Submersible Pump Identification <br /> MFG: FEMr7.0 Model No: Serial No: <br /> Leak Detector Identification <br /> MFG: V.-P-n�45 Model No: Lb*1-o°° Serial No: 16It17,1� <br /> Replacement Leak Detector Identification <br /> MFG: vw9- <br /> s Model No: �L°` Serial No: <br /> Line Conditions <br /> 1. Type of Pipe: 2. Diameter of Pipe: 3. Length of Pipe: <br /> 4. Burial Depth of Leak Detector: 5. Kind of Fuel: 6. Date of Last Line Test: <br /> Test Conditions <br /> 1. Operating Pump Pressure:-so 2. Gallon per hour test rate: 3 @ 10 psi <br /> 3. Static Line Pressure (Pump Off): 'LL- 4. Bleedback Test (Pump Off):"z-0 ml. <br /> 5. Step-through time to full flow 3 seconds (0 psi. to full pump pressure, no leak) <br /> 6. Leak detector stays in Leak Search Position with a 3 GPH leak -Yes: V PASS No: FAIL <br /> 7. Was the leak detector adjusted —Yes: No: <br /> (See Website -www.vaporiess.com -Technical Bulletin 032805) <br /> Symptoms <br /> 1. Won't find 3 GPH leak: 2. Stays in Slow Flow: <br /> 3. Other: <br /> ************ If This Unit Is Returned Under Warranty Please Complete The Following *********** <br /> Vaporless RGA#: Return By (Company): <br /> Telephone: Contact: <br /> Customer Control #: Address: <br /> City: State: Zip: <br /> Vaporless Manufacturing, Inc. <br /> 8700 East Long Mesa Drive, Prescott Valley,Arizona 86314 <br /> 800-367-0185 928-775-5191 Fax: 928-775-5309 <br /> Email: vmi@vaporless.com Web Site: www.vaporiess.com <br />