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Job No. X33/ zlL9- 93 Customer <br /> Techniciani Location <br /> License No. 13y6� <br /> � cc , (v 9;s,V(� <br /> Date 3 - 1- 93 D <br /> itlt State <br /> HORIZON LINE TESTING DRTR SHEET <br /> 1 2 3 4 5 6 <br /> GFIRDE (J)jl7` TeEru,un <br /> PUMP TYPE r C I ftC'�+ G��I-6iktc <br /> TIIJNR Ic, ,9 <br /> ISOLflTOR it, um/4 R./ ct <br /> PUMP PRESSURE � � 2 <br /> TEST PRESSURE S SQ �Q <br /> INITIflL LEVEL 05 O/C Q7 <br /> FINRL LEVEL 6,5X <br /> TIME STRRTED 3, OQ <br /> TIME COMPLETED <br /> TEST INTERURL <br /> LERK RRTE (GPH) <br /> PRSS FOIL PRSS FRIL HISS FRIL PRSS FOIL PRSS FOIL PRSS FflIL <br /> ❑ ❑ M1-1 �J ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> 1HISTING LERK DETECTOR TEST <br /> MFG. G, TYPE ~ rRL leT KL6 PL() <br /> SEflIflL N yQ(�7 fIT /00,1 %X� . C&76f9s <br /> Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail <br /> Test GPH__— ® ❑ rd El ❑ ❑ ❑ El ❑ El ❑ <br /> Test GPH___ [:I E] 1,❑CI E] El <br /> ® ❑ El 11 ❑ <br /> NEW LERK DETECTOR TEST <br /> MFG. Q TYPE RT xt-b <br /> SERIRL # LZ 791 6 <br /> Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass fail <br /> El El El Ea] ❑ ❑ ❑ El El El <br /> RFTER TESTING <br /> Pump & s No Yes No Yes No Yes No Ves No Yes No <br /> Dispenser ❑ ❑ ❑ I ❑ ❑ I ❑ ❑ ❑ ❑ ❑ ❑ <br /> Operational <br /> 1 veriF�5 <br /> t the dispenser (s) work normally and that the leak detector (s) are not leaking. <br /> Field Notes MGR Signature—_________---- <br />