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CHAMPION PRECTS-14 'TESTING, INC. <br />P. O. Box 6398, Bakersfield, CA 93386 <br />(661) 363-7400 (800) 660-9443 <br />FAX (661) 363-7474 <br />Contractors #848150 <br />Mechanical Leak Detector Test Data Sheet <br />Site Name le.r e't S!O / P Date `?-"r OS" <br />Address �`(O7 WpTerCou lec��1L�°!�C'aq <br />Test Information <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 fisted are to my <br />knowledge true and correct. The mechanical leak detector test passlfail is determined usuig a low flow <br />threshold trip rate of 3 gph at 10 PSI. <br />�] U11�f h ♦ i uDI 1 , IAA <br />Veeder-Root # S t Z e( <br />Revi ion 5101 <br />1 <br />2 <br />3 <br />4 <br />5 <br />Product <br />g1 <br />q / <br />Mantiladurer <br />P:%-- AK -70 <br />e t*V-0 <br />/�eir9 <br />Model <br />SY P?L <br />ACQ <br />Resiliency <br />/ 6o <br />2,60 <br />/5,41 <br />Opening Time <br />2 <br />Z <br />Test Leak Rate (milmin) <br />3 <br />3 <br />Metering PSI <br />25 <br />70 <br />50 <br />PASS or FAH,--rq'CS <br />Orr <br />(� <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 fisted are to my <br />knowledge true and correct. The mechanical leak detector test passlfail is determined usuig a low flow <br />threshold trip rate of 3 gph at 10 PSI. <br />�] U11�f h ♦ i uDI 1 , IAA <br />Veeder-Root # S t Z e( <br />Revi ion 5101 <br />