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- SWRCB, January 2002 Page _ of <br />r. 4ZrrnNnARV P1FPF.TF..9T1NG <br />Method Developed By: a Piping Manufacturer 0 Industry Standard 0 Professional Engineer <br />0 Other (Specify) <br />Test Method Used: 0 Pressure 0 Vacuum 0 Hydrostatic <br />0 Other (Specify) <br />Test Equipment Used: Ck&(jG-71C Equipment Resolution: o.50 <br />; <br />012MEZINEEM <br />Piping Run# <br />Piping Run # <br />zsnld—zi�� <br />Piping Run # <br />Piping Run # <br />{ Piping Material: <br />Piping Manufacturer: <br />Cs < i N' <br />Ao k -T+� <br />Piping Diameter: <br />-7 <br />z 3, <br />Length of Piping Run: <br />Product Stored: <br />Method and location of <br />piping -run isolation: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />I <br />1C) k-\ I <br />Test Start Time: <br />601?k <br />Initial Reading (R,): <br />rp I <br />Test End Time: <br />Final Reading (RF): <br />6 <br />Test Duration: <br />Change in Reading (RF-Ri): <br />C > PSI <br />Pass/Fail Threshold or <br />Criteria: <br />C3•0 <br />Test Result: <br />Pass 0 Fail <br />Pass.,, 0 Fail <br />0 Pass 0 Pail <br />0 Pass 0 Fail <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />