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7. <br />VAP ®RLESS MANUFACTURING, INC. <br />LDT-890 Leak Detector Test Record <br />Contractor Customer <br />DIALYSIS NORTH <br />Date Location <br />�aq /30/ Tack T <br />0 <br />Product <br />6-a e -&r N4 &- '.4 •a�✓ <br />Submersible Pump Identification <br />Manufacturer Model No. Serial Number <br />Rc 3'F►C'��'1' <br />ASO S) 1 �oZ �1►94 13G`7 <br />Leak Detector Identification <br />Manufacturer Description Other Style Leak Detector <br />�C, %1E77Le> STP hC-1, JMAL ®3®S 110S <br />Diaphragm -type <br />Piston -type x <br />Leak Detector in Submersible Pump <br />Test at Dispenser <br />1. Operating Pump Pressure 2 � psi (Purging Test System) <br />2. Gallons per hour rate (Leak Test Phase 1) <br />3. Line pressure with pump shut off 13 psi (Leak Test Phase 1) <br />4. Bleedback Test with pump off I q S ml (Bleed—back Test) <br />5. Step -through time to full flow :2,2- 5 seconds (Step -through Time) <br />6. Leak detector stays in leak search position. (Leak Test Phase 2) Yes No <br />LEAK DETECTOR TEST <br />Note: Pass = Leak detector stays m slow -flow during GPH test <br />Fail = Leak detector steps through to allow full pump pressure during GPH test <br />m <br />*Complete thermal expansion test before failing leak detector. <br />Form 890C (May 9, 2002) <br />2002 Vaporless Manufacturing, Inc., Prescott Valley, AZ <br />DIALYSIS NORTH <br />P.O. Box 95 <br />Bella Vista, CA 96008 <br />(530) 275-6667 <br />