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nomorrimm <br />Vaporless Manufacturing, Inc. <br />Quality Petroleum Equipment <br />Solutions for Over 20 Years <br />LDT- 890 Test Form & VMI Warranty Checklist <br />st <br />October I , 2006 <br />Date: 04/02/2009 Test Company: _EPIC Compliance Systems, LLC <br />Telephone: (209) 462-7621 Contact: Nancy Le <br />Site I.D: California Stop Address: 2224 S. Manthey Road <br />City: Stockton State: CA Zip: 95206 <br />Type of Test Equipment: LDT-890 <br />Submersible Pump Identification: <br />MFG: Tokheim Model No: ------ Serial No: ------ <br />Leak Detector Identification: <br />MFG: VMI Model No: 99LD-2000 Serial No: 06121222 <br />Replacement Leak Detector Identification: <br />MFG: Model No: Serial No: <br />Line Conditions <br />Diameter • - ,4. Burial Depth of Leak Detector: 44" 5. Kind of Fuel: 91 6. Date of Last Line Test: ---- <br />- <br />Test Conditions <br />1. Operating Pump Pressure: 27 2. Gallon per hour test rate: 3 @ 10 psi <br />3. Static Line Pressure (Pump Off): 27 4. Bleedback Test (Pump Off): 200 ml. <br />5. Step -through time to full flow 2 seconds (0 psi. to full pump pressure, no leak) <br />6. Leak detector stays in Leak Search Position with a 3 GPH leak - Yes: X PASS No: FAIL <br />7. Was the leak detector adjusted — Yes: X No: <br />PIK <br />************ If This Unit Is Returned Under Warranty Please Complete The Following *********** <br />Vaporless RGA#: _ <br />Telephone: <br />Customer Control : <br />City: <br />Return By (Company): <br />Contact: <br />Address: <br />State: <br />(See Website - .www.vaporless.com. - Technical Bulletin 032805) <br />03 <br />