Veeder-Root Red Jacket FXT - Page 27

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Leak Detector
FTA EVALUATION CHART
Site Location _______________________________ Service Company _______________________________
____________________________________________ ________________________________________________
Date ____________________
Technician Performing Test ______________________________________________
TECH Number ____________________
TYPES OF LEAK DETECTORS TESTED
BFLD (117-182-5) FX2V (116-057-5) FX2DV (116-059-5)
FX1V (116-056-5) FX1DV (116-058-5)
TEST INFORMATION
Product
Serial
Number Resiliency
Opening
Time
Tes t
Leak Rate
ml/Min
gph
Pressure
Relief
Holding
psi/kPa
Metering
psi/kPa
Pass/Fail
Test Leak Rate
ML/Min
GPH
Pump
psi/kPa
Pressure
1
2
3
4
5
6
7
8
Owner/Operator
____________________________________________ __________________________________________
(Signature)
(Date)