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MECN "ITrAL LINE LEAK DETF7nR <br /> - ItST DATA CHART f} <br /> STATIOW NUMBER DATE <br /> 1.Lacation: � ��lJ. � 1�\�.�V �11 ! <br /> street No. and/or Cornbr City Late <br /> Telephone No. <br /> 2. Owner: <br /> Name Address Representative Position Telephone No. <br /> 3. Operator: <br /> Name Dealer . Mgr . / Other Address, if Different than Location Telephone No. <br /> 4. Contrator or Company Making Test --� <br /> Mechanic(s) NAME <br /> LEAK DETECTOR <br /> 1.�J� MAKE= ,,ICa,1l�� \ S� 2. MAKE: <br /> TYPE or MODEL: ��� TYPE or MODEL: �J <br /> SERIAL NUMBER: �� SERIAL NUMBER: <br /> 3.�` MAKE: G��. ( �SS 4. MAKE: <br /> TYPE or MODEL: TYPE or MODEL: <br /> SERIAL NUMBER: , SERIAL NUMBER: <br /> Full Opening Functional Bleed Metering I Test Leak <br /> No. Operating Time Element Back Pressure Rate PASS REMARKS <br /> Pressure Holding ML/Minute <br /> PSI Seconds PSI ML PSI f GAL/HR YES NO <br /> M �qo 14 M <br /> 2. 3 s <br /> 3. w(7jw QQ)i �u,�P ' y q PS n z o <br /> To iQ, (�l U�0 12�i1C G��( — p is Nt <br /> U L ) , D S TO C n (COCGc2 tk <br /> 4. <br /> PETRO TITE® <br /> -HPN 3615266 <br />