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Champion Precision Testing <br />ff'O Box 13059 Sacramento, Ca 95813-3059 <br />(9 16) 927-1557 Fax (916) 927-7345' <br />Site Name___,�A�//C Date <br />Address <br />E <br />est Data Sheet <br />W*T�-'T'Mj - <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 determinedusing a low flow <br />threshold trip rate of 3 gph at 10 PSI. <br />Inspected By: Contractor— Chg!jWjon Precision Teafigg <br />Technician_01_2( /Aj Veeder-Root # <br />0 = <br />- <br />Revision 5101 <br />2 <br />3 4 <br />5 <br />Product <br />F-2 <br />cf- I <br />Manufacturer <br />j1t7-'-0 <br />Model <br />!;7r 1 -t -4—K) <br />A < 0 <br />Resiliency <br />5"o <br />�6 <br />Opening Time <br />Test Leak Rate (ml/min) <br />(gph) <br />3 <br />Metering PSI <br />PASS or FAIL <br />W*T�-'T'Mj - <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 determinedusing a low flow <br />threshold trip rate of 3 gph at 10 PSI. <br />Inspected By: Contractor— Chg!jWjon Precision Teafigg <br />Technician_01_2( /Aj Veeder-Root # <br />0 = <br />- <br />Revision 5101 <br />