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DATE ►Horizon Engine) & Testing, <br /> T/9 • Hasstech AcuRite Pressure Line Testing Data Sheet <br /> Technician <br /> Customer <br /> Job No. <br /> Location <br /> License No. 701 T&( 6taevt�2 <br /> 7 y <br /> City. state <br /> � Z u <br /> 3 q S <br /> Grade 6 <br /> Pur p Type Tn . <br /> Isolation <br /> PUMP pressure <br /> Test Pressure D <br /> Initial Levd O <br /> Final Levd <br /> O So . O SO <br /> Tine Started /00 <br /> Time Completed .)00 <br /> Test Interval <br /> Leak Rate <br /> Pass Fad pasFail Pa <br /> ss Fad Pass Fail pp� ❑ El ❑ El aa <br /> EXISTING LEAK DETECTOR TEST <br /> MFG 6 Type j� .� <br /> serial Na. 695- 1 O <br /> �3S' <br /> Test GPN �?T [a,17 Fad <br /> (P�a�s7s ] pass F2 Pan �]F2RPass Fad Pass faATest GpH ILLJf U 8 ❑ ❑ ❑ ❑ <br /> NEW LEAK DETECTOR TEST <br /> MFG 6 Type <br /> Serial No_ <br /> Pass Fag pass FaPQass Fad <br /> Pass Fad Pass poa a ooaa <br /> Pump and <br /> AFTER TESTING <br /> dispenser Yews No Yes No Yes No Yes No Yes No Yes No <br /> operational Q Q Q Q a Q Q a Q a <br /> 1 vc"y chat the dispenser(s) work normatly and that the leak dctecior(s) are not leaking. <br /> Field Notes: Managers signature <br />