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Mechanical Leak Detector Test Data Sheet <br /> 'A <br /> `ARCO Products Company <br /> Station # <br /> �.J �S Date �o 19 <br /> /} c� <br /> Address <br /> Test Information <br /> 1 ( 3 4 5 <br /> Product <br /> Manufacturer <br /> Model ` �a <br /> Full Operating Pressure (psi) <br /> Line Bleed Back (ml) <br /> Trip Time (sec) <br /> Metering Pressure (psi) <br /> F/E Holding Pressure (psi) 4A <br /> 1: 5 C <br /> Test Leak Rate (ml/min) (g-ph) I ,� 3 <br /> PASS or FAII. <br /> Replaced All Failed Leak Detectors Yes No N/A <br /> If No, Replacement To Be Completed By (Date) <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 listed are to my <br /> knowledge true and correct. The 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 <br /> Signature Ga✓2 �4 %, �� <br /> APC-3325(8/%) <br />