Veeder-Root Red Jacket FXT - Page 28

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Leak Detector
FXT 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
Opening
Time
Metering
psi/kPa
Pressure Relief
Holding
psi/kPa
Approximate
Test Leak Rate
ml/Min
gph
Pass/Fail
Tes t Leak Rat e
ml/Min
gph
Pump
psi/kPa
Pressure
1
2
3
4
5
6
7
8
Owner/Operator
_____________________________________________ ________________________________________________
(Signature) (Date)