23
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
Test
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)