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I b 0 % <br /> Ad�& Mechanical Leak Detector Test Data Sheet <br /> lor ARCO Products Company <br /> Station #0a. -_ Date 15r T <br /> Address /IZ22� iLzZ <br /> Test Information <br /> 1 2 3 4 5 <br /> Product 97 92— 9> <br /> Manufacturer R - '� VP/21 v/°/2, <br /> Modelf_ 1196 L Q 2 0,0 to C_0 2 a o O <br /> P svo 1 o <br /> Full Operating Pressure (psi) 9, 6 5 <br /> Line Bleed Back (ml) 11 ® 6o 0 <br /> Trip Time (sec) <br /> Metering Pressure (psi) ( j ® � <br /> F/E Holding Pressure (psi) S q a <br /> Test Leak Rate (ml/min) (gph) ?c 50 70 <br /> LPASS or FAIL. <br /> a <br /> Replaced All Failed Leak Detectors Yes No N/A <br /> If No, Replacement To Be Completed By (Date) <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 determined using a low flow <br /> threshold trip rate of 3 gph at 10 PSI. / / <br /> Inspected By: Contractor �.� W/t/1 O/V!V.6rw,;o4s <br /> Lic# <br /> Technician l��' t C <br /> Signature <br /> APC-3325(8188) <br />