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.CB, January 2002 <br />Page b of <br />5. SECONDARY PIPE TESTING <br />Test Method Developed t� <br />P Y <br />N4Pipmg Manufacturer <br />❑ Other (Spec) <br />El Industry <br />Standard ❑ Professional <br />Engineer <br />Test Method Used: <br />Pressure <br />❑ Other (Specify) <br />❑ Vacuum <br />❑Hydrostatic <br />Test Equipment Used: � <br />� �� r <br />— ` <br />Equipment Resolution: <br />Piping Material: <br />Piping Run # ��,i <br />r e5 <br />Piping Run #2) <br />Pi in Run # r' Z <br />P g <br />Piping Run # y 3 5y t <br />Piping Manufacturer:10 <br />�1 <br />enc <br />Piping Diameter: <br />nvr fv`n <br />n.lr rot <br />' <br />Gnvr J ��1 <br />Length of Piping Run: <br />G0 r <br />z <br />Product Stored: <br />,res <br />G D <br />,e <br />r <br />Method and location of1 <br />i in -run isolation: <br />a i5e Pan �oo f' <br />e5 <br />�Llt o,'Ae 5-, F butt <br />f <br />-�,���jr✓le SyW,n <br />I p S <br />Wait time between applying <br />pressure/vacuum/water andn <br />startingtest: <br />M 1 <br />�(] t'" ^ <br />D oni <br />Test Start Time: <br />0100 <br />Initial ReadingR'` <br />S <br />0; 0 O <br />Test End Time: <br />I.vv <br />IZ'� <br />S' <br />2 <br />Final Reading (RF): <br />2'is <br />il'a0 <br />Test Duration: <br />tit <br />S� <br />2 5; <br />Change in Reading (RF-Rj): <br />.� <br />til <br />r$ <br />Pass/Fail Threshold or <br />Criteria: <br />Test Result: <br />X Pass ❑ Fail <br />®Pass ❑Fail <br />I -Pass ❑Fail <br />Pass ❑ Fail <br />Comments — (include information on repairs made prior to testin , and recommended follow-up for failed <br />tests) <br />V ��v <br />t`5(� nSP� -( -iii5 <br />hren 1A11-� <br />