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C <br />Ao <br />4 Whk <br />'10r4RC0 Products t <br />Station # 5 2C — <br />Address <br />6 <br />Mechanical Data Sheel <br />Test hdormation <br />Replaced All Failed Leak Detectors Yes No N/A <br />If No, Replacement To Be Completed By (Date) L L . <br />This letter certifies that the annual leak detector tests were performed at -the above ref=uced 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: Contracto <br />Signature <br />APamz8 ON) <br />E/E'd M7*ow 03 11039 WdST:6 2002'SZ'AUW <br />Full Operating Pressure (psi) <br />at <br />LAW <br />PASS or FAEL <br />Replaced All Failed Leak Detectors Yes No N/A <br />If No, Replacement To Be Completed By (Date) L L . <br />This letter certifies that the annual leak detector tests were performed at -the above ref=uced 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: Contracto <br />Signature <br />APamz8 ON) <br />E/E'd M7*ow 03 11039 WdST:6 2002'SZ'AUW <br />