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BRIE® <br /> by JAN 2 2 2016 <br /> d ENVIRONMENTAL <br /> v HEALTH DEPARTMENT <br /> Line Leak Detector Test Data Sheet <br /> Station# Arco 2186 Date 1/7 2016 <br /> Address 3212 N California <br /> Stockton, CA <br /> Test Information <br /> 1 2 3 4 5 <br /> Product 87 91 <br /> Manufacturer VR VR <br /> Model 848480 848480 <br /> Full Operating Pressure (psi) 31 32 <br /> Line Bleed Back(ml) NA NA <br /> Trip Time(sec) NA NA <br /> Metering Pressure (psi) NA NA <br /> F/E Holding Pressure(psi) 20 21 <br /> Test Leak Rate (ml/min)(gph) 189ml 189m1 <br /> PASS or FAIL P P <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 Tim Adams Lic# <br /> Signature <br />