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0 <br /> Champion Precision 'Testing, Inc. <br /> P. 0. Box 6398, Bakersfield, CA 93386 <br /> (661) 363-7400 Fax ( 1) 363-7474 <br /> Lic. # 848150 <br /> Mechanical Leak Detector Test-Data Sheet <br /> Site Name S m Date "' <br /> Address <br /> Test Information <br /> 1 2 3 4 5 <br /> Product <br /> Manufacturer <br /> 77 ._ <br /> Model , <br /> Resiliency <br /> Opening Time .3 � <br /> Test Leak Rate (ml/min) <br /> (gph) .� <br /> Metering PSI 2— 1-3 <br /> PASS or FAIL <br /> Comments: i'g 1�i^ L, Z.1' 4fW17 <br /> .L Q fj <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 detector test pass/fail is determined using a low flow <br /> threshold trip rate of 3 gph at 10 PSI. <br /> Inspected By: Contractor Champion Precision Testing Inc. <br /> Technician t�4 *t Veeder-Root 05 <br /> Service Technician# _ <br /> Signature_ "--------_._ <br /> Revision 5101 <br />