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0 0 <br />Champion Precision Testing, Inc. <br />1875 Diesel Dr, #12 Sacramento, Ca 95838 <br />(916)927-1557 Fax (916)927-7345 <br />Lic # 848150 <br />Electronic Leak Detector Test Data Sheet <br />Site Dates i <br />Address S c �'4,?z� mak' w"".moi Szz� K 7g,. C9_ <br />Test Information <br />This letter certifies that the annual leak detector tests were performed at the above referenced facility <br />according to the equipment man f ct„rers procedures and limitations and the results as listed are to my <br />knowledge true and correct. The Electronic Leak Detector test pass/fiil is determined usmg,a low flow <br />threshold trip rate of 3 gph at 10 PSI. <br />Inspected By: Contractor Champion Precision Testing Inc <br />Technician Alvin L. Milburn Veeder-Root # C7 06— — /32'Z <br />Revision 5101 <br />1 <br />2 <br />3 <br />4 <br />Product <br />9-1 <br />Manufacturer <br />((��� <br />� l <br />co <br />Vc'C•I'G: �' NY <br />Model <br />1ST "9S <br />C) q <br />rOq� t <br />L <br />LL[ <br />4e- ` <br />Line Bleed Back (ml) <br />101; <br />Check Valve Holding Pressure <br />(PSI) <br />/ 2 <br />f L <br />T 2 - <br />Test Leak Rate (ml/min) (gph) <br />3 <br />'3 At <br />rpt <br />PASS or FAIL <br />This letter certifies that the annual leak detector tests were performed at the above referenced facility <br />according to the equipment man f ct„rers procedures and limitations and the results as listed are to my <br />knowledge true and correct. The Electronic Leak Detector test pass/fiil is determined usmg,a low flow <br />threshold trip rate of 3 gph at 10 PSI. <br />Inspected By: Contractor Champion Precision Testing Inc <br />Technician Alvin L. Milburn Veeder-Root # C7 06— — /32'Z <br />Revision 5101 <br />