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LEAK DETECTOR TEST <br />/S No.: DBA: <br />ddress : (,I Z I -L," (,...) ��? C,.A - <br />ontractor: "0 C0 . <br />ested by - Name: <br />0 (Print) <br />roduct <br />upreme <br />ea&Llar <br />inleaded <br />)then <br />Signature) <br />Pumpblock <br />i <br />Model <br />O - Outside i <br />" �,� <br />�i <br />o <br />M- Middle T'o <br />n i <br />o E, <br />o ri <br />I - Inside ; <br />.o b ; <br />.p s ; <br />a <br />.4 .4 <br />,-. o f <br />W <br />-� z <br />-4 <br />o <br />/ i <br />Full Line ; Simulated Line <br />Pressure (PSI) Leak Test <br />i <br />i <br />i <br />Open ; Close <br />Max. 12 ;Min. 26 <br />i <br />Pass <br />Fail <br />Date: <br />Job No. <br />i <br />Seals lCorrections Made <br />Leak Detector) <br />&.Impact valve; <br />(Date) <br />