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by <br /> Line Leak Detector Test Data Sheet <br /> Station # 2-18 Date Z Z 20 <br /> Address 3?/p_ A, <br /> Test Information <br /> j 2 3 4 5 <br /> Product l r <br /> Manufacturer <br /> Model <br /> Full Operating Pressure (psi) <br /> 30 S <br /> Line Bleed Back(ml) <br /> Trip Time (sec) <br /> Z3 Z5- <br /> Metering <br /> 'Metering Pressure (psi) <br /> /b /b <br /> F/E Holding Pressure (psi) <br /> 2 S <br /> Test Leak Rate (ml/min)(gph) <br /> 3 i�f 3� <br /> PASS or FAIL <br /> Comments: <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 test detector test pass/fail is determined using a low <br /> flow threshold trip rate of 3 gph at 10 PSI. <br /> Inspected By: Contractor_Gettler-Ryan Inc. <br /> Technician e Ciy,�l,� Lic# <br /> Signature If 01--Ef <br />