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HCURITUM <br /> SINALE LINE TEST DATAO <br /> TA SHEET <br /> y3t9ilyti <br /> DATE: � LICENSE #U7. P48 <br /> 2 9 � g3 <br /> LOCATION: LEONARD E. CRISP <br /> EN �C�oNMENTAL HEALTH <br /> ��� ' r' cf'} ,'� s' ERMIT/SERVICES OPERATOR: )—C f, Iq .' <br /> rd 1. � _; f <br /> � � w r� <br /> PRODUCT J'e5 tcvr'f 1" f'` �,i i <br /> PRODUCT SHUT—DOWN TIME <br /> PRODUCT TEST TIME <br /> PUMP MANUFACTURER <br /> ISOLATION MECHANISM <br /> ISOLATION MECHANISM DISP C.j )),c?r <br /> TEST PRESSURE- <br /> 1' TIMES WORKING PRESSURE <br /> INITIAL CYLINDER LEVEL <br /> FINAL CYLINDER LEVEL <br /> LEAK RATE=ICL—FCLP47— <br /> TIME COMPLETED (7t-,5 j�<3 <br /> TIME STARTED t o o U /o / 5 1 '� <br /> TOTAL TEST TIME <br /> 30 MIN MINIMUM odd/ 3 0 1))f J S <br /> CONCLUSION PASS FAIL J;1 S <br /> TANK LEAK RATE C START �� 5 ; <br /> OF TEST IF AVAILABLE - <br /> TANK LEAK RATE @ END <br /> OF TEST IF AVAILABLE) <br /> IN—LINE LEAK DETECTOR <br /> PASS FAIL pi <br /> COMMENTS• <br /> All <br /> a YIC� —'�'lIli} Cy(1',La�i} t(.) ak I `;1" 'w <br /> �'�1C� �Yc`��uru G�ICI �''frtl it> " a� . ; � + • - r ,," <br />