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I <br />MEfN1CAL LINE <br />TEST DATA <br />STATION NUMBER <br />LEAK DEICTOR <br />CHART <br />DATE: <br />1.Location: t�2a i- > /v =r &,,7,Mer 1.�)W,e 1 5r&,e_rQ8q <br />street No. and/or Corner C ty Mate Telephone No. <br />2. Owner: <br />Name Address Representative Position Telephone No. <br />3. Operator: <br />Name Dealer. Myr. / Other Address, if Different than location Telephone No. <br />4. <br />Mechanic(s) NAME •LA�Atae <br />1. Su,Y MAKE: 4C .,rte /a -r- <br />TYPE or MODEL: n L L) <br />SERIAL NUMBER: /// SS- -r-2 C• <br />3. +e04 MAKE: tel -XQd6 r—' <br />TYPE or MODEL: Q L 1) <br />SERIAL NUMBER: _ s <br />2. K►/cry MAKE : /�.c� r•J CZL <br />TYPE or MODEL: G <br />SERIAL NUMBER: <br />4 . eOv,1 MAKE: 42 z;'-/--' <br />TYPE or MODEL: <br />SERIAL NUMBER: <br />No. <br />Full <br />Operating <br />Pressure <br />PSI <br />Opening <br />Time <br />Seconds <br />Functional <br />Element <br />Holding <br />PSI <br />Bleed <br />Back <br />Metering I <br />Pressure ! <br />PSI I <br />Test Leak <br />Rate <br />GAL/HR <br />PASS <br />REMARKS <br />YES <br />NO <br />I. <br />so <br />2. <br />4. <br />30 <br />ANKNOLOG <br />T[Ceak:): !'•sir r!1N .OHr•', <br />40880 B county Center Drive, Suite F • Temecula, CA 92591 <br />(909) 308.1212 • Fax (909) 308.1237 <br />