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Champion Precision Testing, Inc. <br />PO Boz 13059 Sacramento, Ca 95813-3059 <br />(916) 927-1557 Fax (916) 927-7345 <br />Site Name I) RC -C3 <br />TS 1000 Mechanical Leak Detector Test Data Sheet <br />Date / C i a % c `r <br />Address ?b c, E � C x;15 K C',4_ <br />Test Information <br />Product <br />Leah Detector <br />Model <br />I Serial Number <br />line <br />PSI <br />Sewing <br />PSI <br />Slow Flow <br />PSI <br />Flow ire <br />@ 10 PSI <br />Resiliency <br />Pass or <br />Fail <br />ai�4l fi i <br />S i J� -,ML P <br />01010,0 / C <br />2-7 <br />Z <br />r? <br />t S L7 <br />.9- i <br />Z 7 <br />7 <br />Comments. -7— D, A,,' " U / s /6 Y <br />This letter certifies that the leak detector test(s) 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 Champion Precision Testing, inc <br />Technician ��, ✓ G ,G (34rZrv' <br />Date e // 5gl o �- <br />Signature fL`lP�� <br />Time 0 �! 3 0 <br />1 --vision :i0] <br />