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Mechanical Leak Detector Test Data Sheet <br /> ARCO Products Company <br /> Station # O — Date 5�p 20 <br /> Address <br /> Test InFortnation <br /> 1 2 3 4 5 <br /> Product <br /> Manufacturer <br /> Model 20� <br /> Full Operating Pressure (psi) l <br /> Line Bleed Back (ml) 4 <br /> Trip Time (sec) <br /> Metering Pressure (psi) <br /> F/E Holding Pressure (psi) Q <br /> Test Leak Rate (ml/min) (gph) <br /> PASS or FAIL <br /> L <br /> Replaced All Failed Leak Detectors Yes No N/A <br /> If No, Replacement To Be Completed By (Date) / <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 threshold <br /> trip rate of 3 gph at 10 PSI. <br /> Inspected By: Contractor S e:, ' <br /> Technician /1 " Lic# <br /> Signature <br /> APC•3325 <br /> Sib'd ZLb'ow 0D iiO3s WdZZ :2 2002'8 'bdW <br />