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AAL <br />lqnlft� 1W <br />ARCO Products Company <br />Station # <br />Address <br />C <br />.6-q S b <br />161"1 V-1 • Fr f- r , 0 f ►' f <br />Mechanical Leak Detector Test Data Sheet <br />Date 1 /0.1 20 <br />5161- t A." <br />Test Information <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 threshold <br />trip rate of 3 gph at 10 PSI. <br />Inspected By: Contractor ,�i�vi�-caA'R ��✓�����`s <br />Technician /;Z11Z G� Lic# F -a'?? <br />Signature <br />APC -3325 (12100) <br />1 <br />2 <br />3 <br />4 <br />5 <br />Product <br />87 <br />91 <br />Manufacturer <br />lek <br />Model <br />e- i1- 1 <br />C P7- <br />Full Operating Pressure (psi) <br />Line Bleed Back (l) <br />Trip Time (sec) <br />Metering Pressure (psi) <br />F/E Holding Pressure (psi) <br />Test Leak Rate (ml/min) (gph) <br />3.0 <br />PASS or FAIL <br />--1 <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 threshold <br />trip rate of 3 gph at 10 PSI. <br />Inspected By: Contractor ,�i�vi�-caA'R ��✓�����`s <br />Technician /;Z11Z G� Lic# F -a'?? <br />Signature <br />APC -3325 (12100) <br />