Title Page
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Conducted on
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Prepared by
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Pump Number
- 3A-20
- 3A-21
- 3A-19
- 3A-06
- L36
- 3A-22
- 3A-18
- 3A-09
- L39
- L27
Type/Model
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Initial Flow - T1 - Time - (min)
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Initial Flow - T1 - Flow (l/min)
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Intermittent Flow - T2 - Time (min)
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Intermittent Flow - T2 - Flow (l/min)
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Final Flow - T3 - Time - (min)
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Final Flow - T3 - Flow (l/min)
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Calibration Date
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Label Applied On Pump
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Battery Life at 60mins
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Battery Life at 90mins
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Analyst Completing Check