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DIALYSIS NORTH <br /> LDT-890 LEAK DETECTOR TEST RECORD <br /> acility Name: ray„�� J” Date: <br /> ;ite Address: j 5©i iTTAeI4 3"oyC ;Zt), , Z�,Po N j CA , <br /> 'acility Contact: Jasc TIM ENE Z <br /> 'hone#: 2 y _ 5 y9 y Purging Leak Test <br /> Test Leak Test Phase/ Step- Phase N <br /> echnician: 6-4c� 14447-,,�, A, ,l System Bleed Through <br /> Back Test Pass/ <br /> Operating Line Time to Full <br /> Submersible Pum Id Leak Detector!d Gallons w! Pump Leak Detector Fail <br /> P Pump Pressure w! Flow <br /> 0roduct Pressure Per Hour Pump shut °R(ml) (seconds) stays in Leak <br /> Rate Search Position <br /> Manufacturer Model/Serial# Type Description (psi) off (psi) <br /> rANk 1 AC6r�i0 <br /> J�c•e�r 1 r cn L� P�. l 16 -0 51e 17 160 3 . 03 <br /> YCS Ass <br /> � �© uz33 <br /> R rKt.9v <br /> iLLF6-16z Pr> I/6 cSd' 3� 3 p lD 2 ,73 yL'S P/tS'S <br /> nf� Z e/t0o Zo2 5 <br /> rAuIW R <br /> )1gSe2 3�c �T i LLr-6-i b is' P(5.f-6 i l G-e�Sr3' Ct 3 '��o SOU `�'r F7 'Ye 5 ASS' <br /> I670 02311 <br /> el 5 os i F E` C"Zv <br /> -7 rl5 f0d Sz,y�/ Mr,Y 2-e 3 / 5 ao 2, q`3 C-S PSS <br /> i �/MIe�T (5o23rrY+f/33/.f1330 o2'7y/ <br /> IZO) Vc. 6x4a <br /> d 9 -ACieer IS�2 i3G7 � S�orJ 00& G03� Z7 3 �7 Z170 2, �--? ES /ASS <br /> p 00 5 a s t e <br /> -L �'IlkC11GT ISa2 3fl9+�18�1 �`s�D"i 3GSa�! 0 . 67 /4.0 L, <br /> am @ <br /> etector stays in slow-flow during GPH test <br /> Fail = Leak Detector steps through to allow full pump pressure during GPH test DIALYSIS NORTH <br /> :omments: P.U. Box 95 <br /> Bella Vista, CA 96008 <br /> (530) 275-6667 <br />