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Champion Precision Testing, Inc. <br /> P. O. Box 6398, Bakersfield, CA 93386 <br /> (661) 363-7440 Fax (661) 363-7474 <br /> Lic. # 848150 <br /> Mechanical Leak Detector Test Data Sheet <br /> Site Name-' Date -� -�9,6 <br /> Address <br /> Test Information <br /> I 2 3. 4 5 <br /> Product <br /> Manufacturer Z--4-15- <br /> Model <br /> 4 Model Z <br /> Resiliency �-- <br /> Opening Time _ <br /> Test Leak Rate (ml/min) <br /> Metering PSI 3 <br /> PASS or FAIL <br /> Comments: fd <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 pasatfail is determined using a low flow <br /> threshold trip rate of 3 gph at 10 PSI. <br /> Inspected By: Contractor Chan ion Precision Testing„Inc. <br /> Technician / �/J ` /� v 51� Veeder-hoot <br /> Service.Technician# �,� �� y 6J 7 <br /> Signature <br /> Kevisicn¢�0 i <br />