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Champion Precision Testing, Inc. <br /> P. 0. Box 6398, Bakersfield, CA 93386 <br /> (661) 363-74 Fax 1) 363-7474 <br /> Lie. # 848150 <br /> Mechanical Leak Detector Test Data Sheet <br /> Site Date <br /> Address <br /> 'fest Information <br /> 1 2 3 4 5 <br /> Product <br /> Manufacturer V <br /> Model <br /> Resiliency <br /> Resiliency d <br /> Opening Time <br /> Test Leak Rate (ml/min) <br /> (gph) <br /> Metering <br /> PASS or FALLJ� ..�✓�'� <br /> Comments: <br /> This letter certifies that the annual teak detector tests were performed at the above referenced facility <br /> according to the equitpment manufacturers procedures and limitations and the results as listed are to my <br /> knowledge true and correct_ The mechanical leak detector test pass/fad is determined using a low flow <br /> threshold trip,rate of 3 gph at 10 PSI <br /> Inspected By: Contractor Ch4W1on Precision Testin—Inc. <br /> Technician �`7�U 1-04 Veeder-Root <br /> Service Technician <br /> Signature <br /> RNvicinn 51(11 <br />