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LU 1 ddU - LEAK Lit I tU 1 Uh Uh&_UKL15 1 u <br /> D I <br /> CONTRACTOR' CUSTOMER <br /> O <br /> Z <br /> DATE PRO UCT LOCATION <br /> TECHNICI <br /> I SUBMERSIBLE PUMP IDENTIFICATION <br /> CHECK MFG. RECORD SERIAL # <br /> INDICATE MODEL NO. IF KNOWN <br /> REDTOKHEIM GILBARCO BENNETT DRESSER A.O.SMITH BOWSER SOUTH OTHER <br /> JACKET WAYNE KEENE WEST <br /> II LEAK DETECTOR IDENTIFICATION <br /> CHECK TYPE <br /> RED JACKET RED JACKET ED JACKET TOKHEIM OTHER <br /> MODEL 116030 MODEL 116-017 MODEL 116-011 A MODEL 585PM <br /> PLD-2SEC DLD 2SEC DLD 5SEC DLD 2SEC <br /> HEX HEAD HEX HEAD ROUND HEAD SQUARE HEAD <br /> PRE-TEST CONDITIONS <br /> VOLUME OF PRODUCT FLUSHED THRU LINE `� GALLONS <br /> OTHER COMMENTS <br /> TEST PROCEDURE <br /> LEAK DETECTOR INSTALLED LEAK DETECTOR ISOLATED <br /> TEST AT DISPENSER FROM PRODUCT LINE-TEST AT PUMP PIT <br /> REFER TO LDT INSTRUCTIONS <br /> III GENERAL LINE AND PUMP INFORMATION III GENERAL PUMP INFORMATION <br /> RECORD OPERATING PUMP PRESSURE 2 6,<psg. FLUSH LDT TESTOR <br /> AIR-VAPOR TEST WITH PUMP OFF MEASURE l RECORD OPERATING PUMP PRESSURE psig. <br /> AND RECORD L 1.' ML <br /> IV PRESSURE STEP TEST IV PRESSURE STEP TEST-SUBMERSIBLE PUMP <br /> REMAINS ON THRU-OUT TEST PROCEDURE <br /> WITH BOTTOM SELECTOR IN PRESSURE STEP TEST WITH BOTTOM SELECTOR IN PRESSURE STEP TEST <br /> POSITION TURN ON PUMP POSITION ROTATE ISOLATOR FULLY(CCAV) <br /> RECORD TIME IN SECONDS GUAGE RECORD TIME IN SECONDS GUAGE <br /> NEEDLE REMAINS IN COLORED ZONE SEC. NEEDLE REMAINS IN COLORED ZONE SEC. <br /> V 3 GALLON PER HOUR LEAK SIMULATED TEST V 3 GALLON PER HOUR LEAK SIMULATED TEST <br /> WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION <br /> A) MEASURE AND RECORD VOLUME IN A) MEASURE AND RECORD VOLUME IN <br /> CALIBRATED BEAKER FOR 60 SECOND TEST�ML CALIBRATED BEAKER FOR 60 SECOND TEST ML <br /> B) OPEN DISPENSER NOZZLE OR PLACE BOTTOM B) PLACE BOTTOM SELECTOR IN DISPENSER <br /> SELECTOR IN DISPENSER NOZZLE POSITION. NOZZLE POSITION. <br /> FLOW RATE OF APPROX. V/2-3GAL PER MINUTE FLOW RATE OF APPROX. 112-3GAL PER MINUTE <br /> WILL BE OBSERVED. WILL BE OBSERVED. <br /> DOES GUAGE NEEDLE MOVE TO LOWER DOES GUAGE NEEDLE MOVE TO LOWER <br /> END OF COLORED ZONE YES ,,L NO END OF COLORED ZONE YES NO <br /> DOES FLOW RATE INCREASE TO APPROX. DOES FLOW RATE INCREASE TO APPROX. <br /> V/2-3GAL PER MINUTE YES_ZNO 1,/2-3GAL PER MINUTE YES NO <br /> C) CLOSE DISPENSER NOZZLE OR PLACE BOTTOM C) PLACE BOTTOM SELECTOR IN <br /> SELECTOR IN 3GPH TEST POSITION: 3tU.PH TEST POSITION: <br /> GUAGE RETURN TO COLORED ✓ GUAGE RETURN TO COLORED <br /> ZONE YES NO ZONE YES NO <br /> GUAGE DOES NOT RETURN TO f GUAGE DOES NOT RETURN TO <br /> COLORED ZONE YES NO COLORED ZONE YES NO <br /> GAUGE GOES TO OPERATING ` GAUGE GOES TO OPERATING <br /> PRESSURE YES NO PRESSURE YES NO <br /> L <br /> LEAK DETECTOR TEST PASSFAIL LE�( DETECTOR TEST PASS <br /> FAIL <br /> PURPORA VAPORLESS FORM SWA C <br />