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Page 3 o1 - <br />CL`!`ntsTT ♦Til e�ma., .e+i+r,r.,.a, �. <br />Test Method Developed By: <br />( Piping Manufacturer 0 Industry Standard 0 Professional Engineer <br />0 Other (Specify) <br />Test Method Uses: <br />RPressure <br />0 Other (Specify) <br />0 Vacuum 0 Hydrostatic <br />Measuring Equipment Used for Testing: <br />Piping Run # ' <br />Piping Material: (- ® kt S <br />Piping Run # b� Piping Run # <br />�® �ow i'ee SS <br />Piping Manufacturer: <br />Sty <br />S W 44, <br />Piping Diameter: <br />a s =0 <br />3 uI-- Q <br />Length of Piping Run: <br />A K. 156 <br />A— y2 A epX - 150' <br />Product Stored: <br />Method and location of <br />pipingftrun isolation: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (Rl): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -R,): <br />Pass/Fail Threshold: <br />Test Result: <br />Comments — (include information on repairs made Prior to test <br />N® �5d l a -�; em T-� 5 -�- o �-� S a an a ern e r Fn u <br />�° A�a1 <br />SWRCB December 2001 <br />