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SERVING UNORTI-ON CALIFORNIA <br />A,F��DI)9A►-TEST <br />0 FTA TEST <br />P.O. Box 36, Thornton, California 95686 <br />26516 N. Secremento Blvd. <br />Phone (209) 794-0102 • Fax (209) 194MI2 <br />Location <br />CHART <br />Date <br />Technician Performing Test <br />TECH # <br />Type of Leak Detectors tested (check one) <br />❑ XLD P/N 116036-5 XLP P/N 116035-5 ❑ BFLD (XL Model) P/N 116039-5 <br />❑ DLD P/N 116017-5 PLD P/N 116030-5 ❑ BFLD P/N 116012-5 <br />❑ OTHER <br />TEST INFORMATION <br />Serial <br />Number <br />Resiliency <br />Opening <br />Time <br />Test <br />Leak Rate <br />ML/Min <br />Functional <br />Element <br />Holding PSI <br />Metering <br />PSI <br />Yes <br />or <br />No <br />O <br />z <br />i 13g <br />f'� <br />k 1- <br />v 111Y <br />4 <br />5 <br />6 <br />