Laserfiche WebLink
HORNER EZY CHER PRODUCT LINE TEST <br /> � <br /> OWNER/OPERATOR �//�` TZ �� SITE ADDRES(S�_ o � � <br /> CITY / 'i/�QL> COUNTY 14A r/(� Y�l•Ci <br /> SITE AGENT �Jj9Qd�/� C���/jJ_ TELEPHONE t�N_ 61j,/" <br /> LINE CONNECTED TO TANK NUMBER/LOCATION cpe)f,)IiZe <br /> PRODUCT LINE DISPENSES L� APPROXIMATE LINE LENGTH <br /> � AU FEET <br /> io <br /> LINE MATERIAL � LINE HAS PLLD YES( <br /> NOJ) SUCTION LINE <br /> TURBINE MARE/MODEL DISPENSER MAKE/MODEL_ rvir�'1�7157- <br /> TANK TEST EQUIPMENT TO BE IN PLACE DURING LINE TEST YES NO <br /> LINE TO BE TESTED WITH A LINE BLOCK IN PLACE OF PLLD YES NO <br /> TURBINE OUTPUT PRESSURE Zfl&'PSI TEST PRESSURE TO BE S7C) PSI <br /> APPLIED TEST PRESSURE AT"'�� HOURS IMMEDIATE LINE CHANGE OF LINES <br /> TIME LINE START LINE END = +/- LINES R .003 = RESULT ACCUM. RESULT <br /> /6v0 E3 62- .003 . too — Gb3 <br /> .003 .LYJ�i <br /> .003 -� -� <br /> .003 8 —L <br /> .003 <br /> )(4p .003 -lXJ9 <br /> / .003fq <br /> LINE CHANGE WHEN PRESSURE REMOVED LINES TOTA��/GPH <br /> RESULT3ALIAW ) LINE TO BE 'C/ONS/IDERED7 PRODUCT TIGHT <br /> TEST MUFT BE CONS�IDWEb INCO'YCLUSIVEBE,�AU <br /> M.jdejo*2 � <br /> TEST OPERATOR Id LICENSE NUMBER �(�z - TEST DATE z� 9� <br />