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u� i—1 J-GlOLIJ 11 JLI CCN I RHL HE FROLEUM MR I NT 9254628352 P.O? <br /> Central Petroleum MaintenAle (926)457AUbu <br /> 176 Wyoming Street, P.O. Box 211 FAX (926) 462-8352 <br /> Pleasanton, CA 94666 <br /> VA►PORLESS MIANUFACTtlRING, INC. <br /> LDT-890 Leak Detector Test Record <br /> Customer Date <br /> Address City <br /> -1 Do c> cka c - c- <br /> Technician Product <br /> _ <br /> Submersible Pump Identification <br /> Manufacturer Model No. Serial Number <br /> Leak Detector Identification <br /> Manufacturer Description Other Style Leak Detector <br /> 1� 4 eti l < <br /> Diaphram-Type <br /> Piston Type <br /> Tamper-proof seal installed? Yes No <br /> Leak Detector in Submersible Pump <br /> Test At Dispenser <br /> Retest <br /> 1, operating Pump Pressuresi (para.15) 1. psi(para.15) <br /> 3 <br /> 2. Gallons per hour rate , 6 (para.22) 2. (para. 22) <br /> 3. Line Pressure with pump shut off. _2=-5 psi (para.25) 3, psi <br /> 4. Bleedback Test with pump off__l _ml (para.26) 4. ml (para.26) <br /> 5. Step-through time to full flow�2 —seconds(para.30) 5, seconds(para.30) <br /> S. Leak detector stays in leak search position (para.42) Yes: ^_ 6.Yes: <br /> No: No: <br /> 7. Leak Detector Test: Pass: 7. Pass: <br /> Fail: � Fail: <br /> Note:Pass=Leak Detector fits test protocal <br /> Failed=Leak Detector fails test protocal <br /> 8. Leak Detector Replaced Yes 8. Yes: <br /> No, X _ No: <br /> SUR -PUMP APPROXIMATE OPERATING PRESSURE <br /> Red Jacket 3/4 HP 28 PSI <br /> Red Jacket 1 112 HP 30 PSI <br /> Red Jacket X3 1 1/2 HP 43 PSI <br /> FE Petro 1 1/2 HP 30 PSI <br />