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` ep 18 06 08: 28a Elite iv Contractors Inc 2094616342 p. 1 <br /> �'•"� !!P t6titrnetvrs, inc. <br /> 2535 'Wigwam Dr. <br /> Stockton, CQ 95205 <br /> Contractor Customer <br /> Date Location Product <br /> `i'echnician ' V <br /> - 1d <br /> Submecsible Pump Identification <br /> Manufacturer Model No. Serial Number <br /> Leak Detector Idenfitication, <br /> Manufacturer ')ascription Other Style Leak Detector <br /> Diaphragm-type <br /> Piston-type <br /> Tamper-proof seal instalicd? Yes �No <br /> Leak Detector in Submersible Pump <br /> Test at Dispenser <br /> 1- 'Operating Pump Pressure (p _psi (para. 15) <br /> 2. Gallons per hour rate /-42 {para.22) <br /> 3. Line pressure with-pump shut off �2?© psi (para.23) <br /> 4. Bleedback Test with primp off �7Q ml (para.26) <br /> 5. Step-through time to full flow_,)-4 ,_seconds(para-30) j <br /> 6_ Leak detector stays in leak search position.(para.42) Yes <br /> No <br /> LEAK DETECTOR TEST <br /> Note: Pass=Leak detector firs ttst protocol <br /> Fail=Leak detector fails test protocol <br /> Pass <br /> Fail <br /> Form 3900(9-1-96) ,: <br />