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II <br />RECEIVED <br />DECbp 17 2013 <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />Line Leak Detector Test Data Sheet <br />Station # Arco 2093 Date 11/14 2013 <br />Address 3425 Tracy Blvd <br />Tracy, CA <br />Test Information <br />Comments: <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 test detector test pass/fail is determined using a low <br />flow threshold trip rate of 3 gph at 10 PSI. <br />Inspected By: Contractor Gettler-Ryan Inc. <br />Technician Chris San Nicolas <br />Signature <br />Lic# <br />1 <br />2 <br />3 <br />4 <br />5 <br />Product <br />87 <br />91 <br />Manufacturer <br />VR <br />VR <br />Model <br />848480 <br />848480 <br />Full Operating Pressure (psi) <br />37 <br />41 <br />Line Bleed Back (ml) <br />NA <br />NA <br />Trip Time (sec) <br />NA <br />NA <br />Metering Pressure (psi) <br />NA <br />NA <br />WE Holding Pressure (psi) <br />35 <br />36 <br />Test Leak Rate (ml/min)(gph) <br />189ml <br />189ml <br />PASS or FAIL <br />P <br />P <br />Comments: <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 test detector test pass/fail is determined using a low <br />flow threshold trip rate of 3 gph at 10 PSI. <br />Inspected By: Contractor Gettler-Ryan Inc. <br />Technician Chris San Nicolas <br />Signature <br />Lic# <br />