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a <br />SECONDARY LINE TESTING NOV 10 2016 <br />ENVIRONMENTAL HEALTH <br />Test Method By: O Manufacturer • industry Standard o ProfessicDE TJ\A5j6T(see below) <br />Test Method Uses: • Pressure o vacuum e Hydrostatic o Other (see below) <br />Measuring Equipment Used: Pressure Gauge (range 0 to 15 psig) <br />Descrintion <br />Tank product <br />Pipe manufacturer <br />Pipe material <br />Primary pipe diameter (inches) <br />Secondary pipe diameter (inches) <br />Method of secondary pipe isolation <br />Location of secondary pipe isolation <br />Estimated length of piping run (feet) <br />(include length of branch runs) <br />Wait time for pressure to stabilize (hr:min) <br />Test start time <br />Initial pressure (psig) <br />Test end time <br />Final pressure (psig) <br />Test duration (hr:min) <br />Change in pressure (psig) <br />Pass/Fail threshold (psig) <br />TEST RESULT <br />Comments: <br />0 2016 Walton Engineering, Inc. <br />