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A� . <br /> Champion Precision Testing <br /> PO Box 13059 Sacramento, Ca 95813-3059 <br /> (916) 927-1557 Fax (916) 927-7345 <br /> Mechanical Leak Detector Test Data Sheet <br /> Site Name 174x c _ -c /'bate -[_ 11 - J 6 <br /> Address_ 3CIVIO IN 1'e-ar e/" ' <br /> Test Information <br /> 1 2 3 4 5 <br /> Product 7 9 / <br /> Manufacturer V J47_ <br /> Model l�2 d,-,hg 20C)o <br /> Resiliency IS6 <br /> Opening Time -3 <br /> Test Leak Rate (ml/min) <br /> (gph) <br /> Metering PSI Z 2 <br /> PASS or FAII. T �sSS <br /> Comments: tV t Ce-- Q0 i.. t2 2-ac c 1,ec4k <br /> This letter certifies that the annual leak detector tests were performed at the above referenced facility <br /> according to the equipment manufacturers procedures and limitations and the results as listed are to my <br /> knowledge true and correct. The mechanical leak detector test pass/fail is determined using a low flow <br /> threshold trip rate of 3 gph at 10 PSI. <br /> Inspected By: Contractor Champion Precision Testing <br /> Technician Ed Stearns Veeder-Root# <br /> Signature <br /> Revision 5/01 <br />