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SWRCB,January 2002 Page of <br /> 5. SECONDARY PIPE TESTING <br /> Test Method Developed By: ❑Piping Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑Other(Sped) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑Hydrostatic <br /> ❑Other(Spec fy) <br /> Test Equipment Used: Equipment Resolution: <br /> Piping Run# Piping Run# Piping Run# Piping Run# <br /> Piping Material: <br /> Piping Manufacturer: <br /> Piping Diameter: <br /> Length of Piping Run: <br /> Product Stored: <br /> Method and location of <br /> i in -run isolation: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Ri): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-Ri): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Test Result: ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Comments— (include information on repairs made prior to testing, and recommended follow-up for jailed tests) <br /> JUL 21 2017 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br />