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Champion Precision Testing, Inc. <br />PO Box 13059 Sacramento, Ca 953I3-3053 <br />(916) 927-1557 Fax (916) 927-7345 <br />TS 1000 Mechanical Leak Detector Test Data Sheet <br />Site Name /� I'CO — Date / / g % c `r' <br />Address lG c, 'ET, Laq r'_'� <br />Test Information <br />Product <br />Leak Bet ctor <br />Model <br />Serial Number <br />Line <br />PSI <br />Seating <br />PSI <br />Slow How <br />PSI <br />flow Rate <br />@ 10 PSI <br />Resiliency <br />Pass or <br />fail <br />'4 Kei <br />J(' - A4 L P <br />C1 10 07 <br />7 <br />2 % <br />2> <br />r�Ex =? <br />iib _ J== <br />c:�2z, =Z <br />l <br />Comments: %<= _ice � C ^, � O / S-:_/6 Y <br />This letter certifies that the leak detector tests) were performed at the above referenced facility according to the <br />equipment manufacturers procedures and limitations and the results as listed are to my knowledge true and <br />correct. The mechanical leak detector test pass/fail is determined using a low flow threshold trip rate of 3 gph at <br />10 PSI_ <br />Inspected By: Contractor <br />Champion Precision Testing, <br />Inc <br />Technician fd-v <br />Signature <br />41-- -Cz" <br />Date <br />Time 09'3 <br />Revision x!'01 <br />