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1Q/12/2000 15:27 7146705a20 <br />IN Produco Company <br />Station # <br />Address _ <br />HSE DEPT <br />PAGE 06 <br />Mechanical Leak Detector Test Data Sheet <br />Date � L t") 1� <br />- I Test Information <br />Replaced All Famed Leak Detect) rs Xes No . N/A _ .. <br />If No, Replacement To Be Corn eted By (Date) I I <br />This letter certifies that the a ual leak detector tests were performed at the above referenced facility <br />according to the equipment marufacturers procedures and limitations and the results as listed are to my <br />knowledge true and correct. Tbe 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 <br />Technician Lic# <br />Signature <br />APC -=5 (01N) <br />1 <br />2 <br />3 <br />4 <br />5 <br />Product <br />Manufacturer <br />U1 <br />v }.��, <br />KJO LO <br />A qn <br />Model <br />Full Operating Pressure (psi) <br />' <br />i <br />Line Bleed Back (ml) <br />Trip Time (sec) <br />' <br />Metering Pressure (psi) <br />F/E Holding Pressure (psi) <br />V <br />Test Leak Rate (ml/min) (gph) <br />jqo�, M <br />PASS or FAIL <br />sg> <br />Replaced All Famed Leak Detect) rs Xes No . N/A _ .. <br />If No, Replacement To Be Corn eted By (Date) I I <br />This letter certifies that the a ual leak detector tests were performed at the above referenced facility <br />according to the equipment marufacturers procedures and limitations and the results as listed are to my <br />knowledge true and correct. Tbe 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 <br />Technician Lic# <br />Signature <br />APC -=5 (01N) <br />