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Certification Testing Information Form

 *** Install and Replace VMI Mechanical Line Leak Detector ***  

*** Operation of VMI LDT-890 Leak Detector Tester for Catastrophic Leak Test *** 

*** Operation of the VMI Model 300/300P Sump Leak Tester ***

June 16th, 2006

These tests are to be taken individually, depending upon which category the technician wishes to be certified.  The test questions are based upon information provided in the attached manuals, drawings, and technical bulletins. 

Upon completion of the test, either fax or mail the completed test and this page to Vaporless Manufacturing, Inc. at the address noted at the bottom of this page.

Please provide the information below with the completed test form:

Technicians Name_______________________________________________________________________ 

Job Title_______________________________________________________________________________ 

Name of Business_______________________________________________________________________ 

Does your company own one or more LDT-890?         Yes _____   No_____

    If yes, please list the LDT-890 Serial Numbers______________________________________________

   and follow the link to the LDT-890 Warranty & Registration Form, please complete the form and fax or

    mail to VMI.

Does your company own one or more Model 300P Sump Tester?                Yes_____  No_____

    If yes, please list the Model 300P Serial Number(s)___________________________________________

Business Address______________________________________________________________________

City__________________________________________________________________________________ 

State_______________________________      Zip Code_____________________________________ 

Telephone____________________________________________________________________________ 

FAX__________________________________________________________________________________

Email Address_________________________________________________________________________

Date_______________________ Signature__________________________________________________

Upon completion of successful evaluation by VMI personnel, certification will be issued to the technician and posted on our web site.  The certification is valid for 2 years from date of test.  If you leave the company you are certified under, you must notify us to be re-certified.