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--- _ _►.- U R I -=T ETM <br />Date: <br />Location: / Q <br />Single Line Test Data Sheet <br />Test Number: <br />Operator: <br />Product <br />4i <br />Pump Manufacturer <br />cel— 6 <br />Isolation Mechanism (Pum) <br />(1 112 limes working pressure) <br />Test Pressure <br />so <br />�� <br />`�� <br />Initial Cylinder Level (ICL) <br />Final Cylinder Level (FCL) <br />��� <br />0 <br />Leak Volume = ICL — FCL <br />Time Completed <br />I' -k <br />Time Started <br />Total Test Time (30 min. minimum) <br />Conclusion (Pass or Fail) <br />(If available.....) <br />Tank Leak Rate at Start of Test <br />(If available.....) <br />Tank Leak Rate at End of Test <br />f nmments! <br />