Laserfiche WebLink
EQUIP ENT TEST LOG <br />S/S #: BUSINESS NAME: <br />Address: <br />CONTRACTOR: <br />Nome of person completing tests: <br />Signoture: <br />Deoler°s Signoture: <br />Check off each test when performed: <br />1. ❑ Sheor Volve Inspections - Dote: <br />Fill out this <br />form for <br />eoch onnuol <br />inspection <br />and keep <br />on file. <br />2. ❑ Leck Detector <br />Product <br />Model Leok Full Line Pressure PSI Simuloted Line Leck Test Inspection <br />Detector Open Mox. 12 Close Min. 26 Pass Foil Dote <br />e ulor <br />upreme <br />Unleaded <br />Unleaded <br />iesel <br />Cher <br />3. U Dispenser Meter Calibration Procedure: <br />1. Before Storting colibrotion runs. wet the colibrotion con with product <br />and return product to storage. - <br />2. Run 5 gollons with nozzle wide open into the con. Note gollons and <br />cubic inches drown. and return product to storage. <br />3. Run .5 gollons with nozzle one-holf open into the con. Note gollons <br />and cubic . inches drown and return product to storoge. <br />4. If the volume meosured in o 5 -go -lion colibrotion con is more thon <br />6 cubic inches obove or below the 5-gollon mork. the meter requires <br />colibrotion by o registered device repoirmon. <br />Fost Flow Slow Flow Vol. Returned Colibrotion <br />Dote/Time Nozzle # Product 5 -Gal. Droft 5 -Gal. Draft to storage Required? <br />Gal. Cu -In- Gal. Cu.ln: gallons YES*/NO <br />I =Note dote of Colibrotion & Device(s) used: <br />auW-o+w <br />02-03-91 <br />Chevron <br />