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RECEIVED <br /> TAI T nEc o o 2019 <br /> I <br /> ENVIRONMENTAL RTME9UT HEALTH <br /> Test Date: 11/20/2019 <br /> LEAK DETECTOR TESTING <br /> Facility ID: 01 Client Name: Unified Grocers, Inc <br /> Street Address: 1990 Piccoli Rd. Technician: Pat Banbury <br /> City: Stockton ICC#: 5254955 <br /> Zip Code/State: 95215 / CA Manufacturer Cert#: 1001733709/1786 <br /> Test Information <br /> Product T1: Diesel T1: Diesel <br /> Manufacturer Vaporless FE-Petro <br /> Model 99-LD3000 STP-MLD-D <br /> New Leak Detector No No <br /> Yes/No <br /> Serial Number 00310065 MH1393 <br /> Electronic LD No No <br /> Yes/No <br /> Calibrated Test Leak <br /> Rate: (189 mil/min Yes Yes <br /> 10 PSI) (Yes/No <br /> Check Valve Holding 43 14 <br /> PSI <br /> Resiliency 450 130 <br /> (Bleed Back MIL) <br /> Slow Flow 25 11 <br /> Metering PSI / N/A <br /> Turbine Shut Down <br /> Electronic LD N/A N/A <br /> Yes/No/NA <br /> Slow Flow At Nozzle Yes Yes <br /> (Yes/No/NA) <br /> Opening Time 3 5 <br /> (Seconds) <br /> Pass/Fail Pass Pass <br /> ā¯‘Check If Action Items)Are Present <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 leak detector test pass/fail is determined using a low flow threshold trip <br /> rate of 3 gph at 10 PSI. <br /> Technician Signature: Date: 11/20/2019 <br /> CA Iic# 588098 1 AZ lick 095984 1 NV lick 0049666 1 TX lic4 CR0000041 <br />