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STOCKTON SERVICE STATION EQUIPMENT CO. INC. <br />808 N. UNION STREET <br />STOCKTON, CA 952054152 <br />PHONE 209.464.8333 FAX 209.464.8349 <br />LDT-890 LEAK DETECTOR TEST RECORD <br />CUSTOMER: <br />1154A kAJJR,� IKAP—t DATE: <br />LOCATION: -53 0 <br />CITY: 5-raw','k 7- ZIP: <br />Qv\ STATE: <br />TECFMCLkN: <br />Submersible Pump Identification <br />Manufacturer Model Serial Number <br />Manufacturer <br />Leak Detector Identification <br />Desai tion <br />Diaphragm -type <br />Piston -type <br />Tamper -proof seal installed? Yes No e <br />Other Style Leak Detector <br />Leak Detector in Submersible Pump <br />Test at Dispenser <br />1. Operating Pump Pressure (para.15) <br />2. Gallons per hour rate6-4MAI s fpara. 22) <br />3. Line pressure with pump shut off /t0 1'6 (para. 23) <br />4. Bleed -Back Test with pump off LO t (para. 26) <br />5. Step -through time to full flow (para. 30) <br />6. Leak detector stays in leak search position (para. 42) Yes_,X_ No <br />LEAK DETECTOR TEST <br />Note: Pass = Leak detector fits test protocol <br />Fall = Leak detector fails test protocol <br />Pass <br />Fail <br />Fom 8900 <br />