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L - LEAK DETECTORC L15T <br />CONTRACTOR•r CO C <br />CUSTOMER R C a <br />® t <br />LATE.PR ucT,:.. LOCATION <br />U <br />TECHNICIAN <br />�ttce� Com... �Ao.r, <br />w <br />e <br />T .1Insfico4m1o1 C of tun 111CMT =ll%ATIAM <br />MiECK MFG. <br />RECORD SERIAL # N b l <br />INDICATE MODEL NO. IF KNOWN <br />E TOKHEIM <br />GILBARCO <br />BENNETT <br />DRESSER <br />WAYNE <br />A.O. SMITH <br />BOWSER SOUTH OTHER <br />KEENE WEST <br />JA XET <br />HEX HEAD HEX HEAD ROUND HEAD <br />SQUARE HEAD <br />PRE-TEST CONDITIONS <br />VOLUME OF PRODUCT FLUSHED THRU LINE.) 5 GALLONS <br />OTHER COMMENTSS \ c n ® � <br />C °,&` \ `4 <br />TEST PROCEDURE <br />LEAK DETECTOR INSTALLED <br />LEAK DETECTOR ISOLATED <br />TEST AT DISPENSER <br />FROM PRODUCT LINE - TEST AT PUMP PIT <br />REFER TO LDT INSTRUCTIONS <br />F ► 1 <br />PLRPORA VAPORLESS FORM UM 0 <br />} <br />CHECK TYPE L, b sN CIS 1 <br />RED JACKET RED JACKET RED JACKET <br />TOKHEIM OTHER <br />MODEL 116-030 MODEL 11E-017 MODEL 116-011A <br />MODEL 585PM <br />PLD-2SEC DLD 2SEC. DLD SSEC <br />DLD 2SEC <br />HEX HEAD HEX HEAD ROUND HEAD <br />SQUARE HEAD <br />PRE-TEST CONDITIONS <br />VOLUME OF PRODUCT FLUSHED THRU LINE.) 5 GALLONS <br />OTHER COMMENTSS \ c n ® � <br />C °,&` \ `4 <br />TEST PROCEDURE <br />LEAK DETECTOR INSTALLED <br />LEAK DETECTOR ISOLATED <br />TEST AT DISPENSER <br />FROM PRODUCT LINE - TEST AT PUMP PIT <br />REFER TO LDT INSTRUCTIONS <br />III GENERAL LINE AND PUMP INFORMATION <br />III GENERAL PUMP INFORMATION <br />RECORD OPERATING PUMP PRESSURE �_ psig. <br />FLUSH LDT TESTOR< <br />AIR -VAPOR TEST WITH PUMP OFF MEASURERECORD <br />165 <br />OPERATING PUMP PRESSURE prig. <br />AND RECORQ ML <br />6 IV PRESSURE STEP TEST <br />IV PRESSURE STEP TEST -SUBMERSIBLE PUMP <br />REMAINS ON THRU-OUT TEST PROCEDURE <br />WITH BOTTOM SELECTOR IN PRESSURE STEP TEST <br />WITH BOTTOM SELECTOR IN PRESSURE STEP TEST <br />POSITION TURN ON PUMP <br />POSITION ROTATE ISOLATOR FULLY (CC" <br />RECORD TIME IN SECONDS GUAGE <br />RECORD TIME IN SECONDS GUAGE <br />NEEDLE REMAINS IN COLORED ZONE SEC. <br />NEEDLE REMAINS IN COLORED ZONE SEC. <br />V 3 GALLON PER HOUR LEAK SIMULATED TEST <br />V 3 GALLON PER HOUR LEAK SIMULATED TEST <br />WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION <br />WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION <br />A) MEASURE AND RECORD VOLUME ISI <br />CALIBRATED BEAKER FOR 60 SECOND TEST 14.6 ML <br />A) MEASURE AND RECORD VOLUME IN <br />CALIBRATED BEAKER FOR 60 SECOND TEST ML <br />B) OPEN DISPENSER NOZZLE OR PLACE BOTTOM <br />B) PLACE BOTTOM SELECTOR IN DISPENSER <br />SELECTOR IN DISPENSER NOZZLE POSITION. <br />NOZZLE POSITION. <br />FLOW RATE OF APPROX. 1 `h43 PER MINUTE <br />FLOW RATE OF APPROX. 112-3GAL PER MINUTE <br />WILL BE OBSERVED. <br />WILL BE OBSERVED. <br />DOES GUAGE NEEDLE MOVE TO LOWER/ <br />DOES GUAGE NEEDLE MOVE TO LOWER <br />END OF COLORED ZONE YES V/ NO <br />END OF COLORED ZONE YES NO <br />DOES FLOW RATE INCREASE TO APPROX. . / <br />DOES FLOW RATE INCREASE TO APPROX. <br />11/2-3GAL PER MINUTE YES ✓ NO <br />11/2.3GAL PER MINUTE YES_NQ_ <br />C) CLOSE DISPENSER NOZZLE OR PLACE BOTTOM <br />C) PLACE BOTTOM SELECTOR IN <br />SELECTOR IN 3GPH TEST POSITION: <br />3GPH TEST POSITION: <br />GUAGE RETURN TO COLOREDGUAGE <br />/ <br />RETURN TO COLORED <br />ZONE YES ✓ NOZONE <br />YES NO <br />GUAGE DOES NOT RETURN TO <br />GUAGE DOES NOT RETURN TO <br />' COLORED ZONE YES NO <br />COLORED ZONE YES NO <br />GAUGE GOES TO OPERATING <br />GAUGE GOES TO OPERATING <br />PRESSURE YES NO <br />PRESSURE YES NO <br />PFA <br />PASsH <br />LEAK DETECTOR TEST <br />L <br />LW DETECTOR TEST <br />FAIL <br />PLRPORA VAPORLESS FORM UM 0 <br />