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a c Customer ��j, 71-C) <br /> 2.3 <br /> Job No. '�� ._�-�:.; - , � <br /> Technician / �Ay' y Location i` ol i� � � L <br /> License No. <br /> Date .- Clttl State <br /> HORIZON LINE TESTING OFITH SHEET <br /> t 2 3 4 5 b <br /> GRROE <br /> PUMP TYPE .a•< 4t/q. .7—,g 61 j <br /> ISOLRYOR � S <br /> PUMP PRESSURES S <br /> TEST PRESSURE s� { <br /> INITIRL LEVEL � pc ! <br /> - I <br /> FINRL LEVEL F07-) r QG o <br /> TIME STRRTEO f° <br /> TIME COMPLETED M � ' <br /> TEST INTERURL JFK J 30 A/,J - <br /> LERK ROTE (GPH) /60 � "'goo <br /> PRSS FOIL PASS FRIL PRSS FRIL FOSS FOIL PRSS FOIL PRSS FOIL <br /> El El El E] E] E] 1:1 1:1 1:1 1-1 1:1 <br /> EHISTING LEAK DETECTOR TEST <br /> MFG, D TYPE <br /> SEA l RL 3 t gof� <br /> Pass Fail Pass fall Pass Fall Pass fail Pass Fall I Pass Fall j <br /> Test GPH ❑ M ❑ ❑ ❑ Cl ❑ ❑ ❑ ❑ <br /> Test GPH ❑ ❑ Cl Cl ❑ ❑ ❑ ❑ ❑ ❑ Cl <br /> NEW LERK DETECTOR TEST <br /> MFG. D TYPE <br /> SEHIRL r <br /> Pass Fall Pass Fail Pass Fall Pass Fall Pass Fall Pass Fall <br /> LO ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> RFTER TESTING <br /> Pump D Y s No s No Yes No Yes No Yes rrN--a11 Yes :[N: <br /> Dispenser ❑ ❑ 1 ❑ ❑ 1 ❑ ❑ ❑ LJ ❑ <br /> Operational <br /> I uerltg that the dispenser(s) work normally and that the leak detector (s) are not leaking. <br /> Field Notes MGR Signature <br />