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RICH ENVIRONMENTAL <br /> 5643 BROOKS CT BAKERSFIELD,CA. 93308 <br /> OFFICE (661) 392-8687 & FAX (661) 392-0621 <br /> ACURITE TM PIPELINE TESTER <br /> WORK SHEET <br /> DATE :i--1j1-o2 W/0# <br /> Facility Name: <br /> Facility Address : (p 0 O /t.). i,a>,/ qC/. S-/bCj<-W0— C4 <br /> Product Line Type (Pressure, Suction, Gravity) : Sar�. <br /> Pump Manufacturer: Q]:-10--W4Ck Isolation Mechanism: (/„q�-/� <br /> PRODUCT START TIME END TIME TEST VOLUME RESULT <br /> /READING /READING PRESSURE RATE PASS/ <br /> 00 : 00/GPH 00 : 00/GPH (PSI) (GPH) FAIL <br /> //;oc /.' O . 0/0 ASS <br /> 30 0 2 <br /> v0 001S7 S <br /> I certify that the above line tests were conducted according to <br /> the equipment manufacturer's procedures. The results as listed are to <br /> my knowledge true and correct. <br /> The test pass/fail is determined using a threshold of 190 ml per <br /> hour (0.05 GFH) rate at 1 1/2 times working pressure or 50 psi which <br /> ever is greater. <br /> Tech: JAMES J. RICH State License: # 99-1072 <br /> Signature: MFG.CERTIFICATION: # 601.LT <br />