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swRCB, January MOZ <br />Page,: --3— of <br />Test MethodDeveloped.By: <br />XPiping Manufacturer XIndustry Standard Professional Engineer <br />Other (Specify) <br />Test Method Used-- <br />XPressure <br />Other (Specify) <br />Vacuum <br />Hydrostatic. <br />Test Equipment Used. Pressure Gauges <br />Piping Run # `��, <br />Piping Material: �=� <br />Piping. Run # Z a <br />/,�-,s <br />Equipment Resolution: <br />Piping Run # 3 <br />.wa <br />Piping. Run # g! <br />1-i /•w5 <br />Piping Manufacturer: <br />, p, iii' <br />,4.0 • S.�/ 7 <br />4, 0• Sm�`i-fit <br />l�. D• Sys <br />Piping Diameter. <br />�' <br />Length of Piping Run: <br />— <br />2 S ° <br />/0.0 <br />75 <br />Product Stored- <br />g �-qa,5 Gk o/ice <br />q I OeJ� G 6s 44-1,- <br />Z7 40444-5 i <br />S? I/XE <br />Method and location of <br />piping -run isolation: <br />o P/ i <br />P- 7aBiO1,014fto. j,-5VPA.05A-%OtSTP�I; <br />1 S <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test•. <br />' p 011 n./ <br />) 0 m o '�/ <br />10 sra i • I <br />/ 0 AV <ie/. <br />Test Start Time: <br />o <br />!&p A -Am <br />-7, Fo xi <br />Initial Reading (Rj): <br />5 PSX. <br />a P.S 1 <br />S 5 .T. <br />5 P 5 <br />Test End Time: <br />g : 3o 4-M <br />19; 30 I ft <br />d ; <br />) 0 161.007 <br />Final Reading (RF): <br />S <br />5 T. <br />S P 5 Z7 <br />5' P 5 Z <br />Test Duration: <br />[ ha -,,e <br />hw <br />Change in Reading (RF-&): <br />Pass/Fail Threshold or <br />Criteria: <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />io <br />