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HWY 38 BRIGHAM CITY, UT, 84302 PEI/RP1200-12 pei.org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´1RµRU/LQHLV´<HVµWKHV\VWHPKDVIDLOHGWKHWHVW Test Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO Comments: 7HVWHU·V1DPHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·V6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Precision Testing Technologies Inc.801-886-9224 AT&T 0100009 08/21/2024 1 DSL V.R. 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HWY 38 BRIGHAM CITY, UTAH pei.org 43 Recommended Practices for the Testing and Verification of Spill, Overfill, Leak Detection and Secondary Containment Equipment at UST Facilities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est Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO Comments: $OOOLTXLGVDQGGHEULVPXVWEHGLVSRVHGRISURSHUO\ 7HVWHU·V1DPHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·V6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Precision Testing Technologies Inc.801-886-9224 AT&T 0100009 08/21/2024 1 DSL 5 Gal OPW 4 4 4 4 4 4 4 4 13" 0 Min. 13" 60 Min. 60 Min. 0 4 Max LaRou UT-412 1760 N. HWY 38 UT0930 BRIGHAM CITY, UT, 84302 EZY CHEK SYSTEMS TEST DATE PRODUCT LINE TESTER Testing Company Information DATA SHEET Name Address City Test Location Information Precision Testing Technologies, Inc. 2026 W. Elk Creek Crt. Bluffdale, UT Test Location Information Phone Name Address Technican Information City Name Phone Cert # 801-886-9224 Contact Applied Pressure #1 Product Type:#2 Product Type: TIME DATA -/+GPL RES GPH TIME DATA -/+GPL RES GPH 0 0.0037 0.0000 0.0000 0 0.0037 0.0000 0.0000 0.0037 0.00370.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 FINAL RESULT:FINAL RESULT: #3 Product Type:#4 Product Type: TIME DATA -/+GPL RES GPH TIME DATA -/+GPL RES GPH 0 0.0037 0.0000 0.0000 0 0.0037 0.0000 0.0000 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.00370.0037 0.0037 0.0037 0.0037 FINAL RESULT:FINAL RESULT: #5 Product Type:#6 Product Type: TIME DATA -/+GPL RES GPH TIME DATA -/+GPL RES GPH 0 0.0037 0.0000 0.0000 0 0.0037 0.0000 0.000000.0037 0.0000 0.0000 0 0.0037 0.0000 0.0000 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 FINAL RESULT:FINAL RESULT: Facility ID# : 08/21/2024 0100009 AT&T 1760 N. Hwy 38 Brigham City, UT Max LaRou UT-412 10 P.S.I. 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