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0 0 <br />Champion Precision Testing <br />PO Box 13059 Sacramento, Ca 95813-3059 <br />(916) 927-1557 Fax (916) 927-7345 <br />Mechanical Leak Detector Test Data Sheet <br />Site Name C�r�eGo,'S /%7,nd � f, Date ,;�7O' Q,5 <br />T <br />Test Information <br />I LQ. lLAK-- -Z-//7 r <br />This letter certifies that the annual leak detector tests were performed at the above referenced facility <br />according to the equipment manufacturers procedures and limitations and the results as listed are to my <br />knowledge true and correct. The mechanical leak detector test pass/fail is determined using a low flow <br />threshold trip rate of 3 gph at 10 PSI. <br />Inspected By: Contractor Champion Precision Testing <br />Technician /5 6/ ^ /`/`., <br />Signature <br />Veeder-hoot 4 6!5�(? <br />Rmsion . A 1 <br />1 <br />2 <br />3 <br />4 <br />5 <br />Product <br />Manufacturer <br />Model <br />aCOf> <br />�v <br />Resiliency <br />` <br />/ <br />Opening Time <br />Test Leak Rate (ml/min) <br />(gph) <br />r. <br />Metering PSI <br />/3 4-51 <br />^ <br />rPASSor FAIL <br />A' 15 <br />I LQ. lLAK-- -Z-//7 r <br />This letter certifies that the annual leak detector tests were performed at the above referenced facility <br />according to the equipment manufacturers procedures and limitations and the results as listed are to my <br />knowledge true and correct. The mechanical leak detector test pass/fail is determined using a low flow <br />threshold trip rate of 3 gph at 10 PSI. <br />Inspected By: Contractor Champion Precision Testing <br />Technician /5 6/ ^ /`/`., <br />Signature <br />Veeder-hoot 4 6!5�(? <br />Rmsion . A 1 <br />