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SWRCB, January 2002 <br />Page / of Z <br />Test Method Developed By: 0 Piping Manufacturer industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: Pressure ❑ Vacuum ❑ Hydrostatic <br />' ❑Other (Specify) <br />Test Equipment Used: <br />Equipment Resolution: <br />Piping Run # <br />fiStZ'' <br />Piping Run # 2 <br />Piping Run # 3 <br />Piping Run # <br />Piping Material: <br />Piping Manufacturer: L)IL <br />0 F^- <br />vk, <br />Piping Diameter: 2 '' <br />Z <br />Length of Piping Run: 5^0 <br />5,8 <br />Product Stored: - t t;'$ i&L <br />Method and location of <br />piping -run isolation:+?—<^i S'vry� <br />�.1 �P <br />Qet7�I'� <br />'�Sfr(�a"risP <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: /'n r2 <br />r16 <br />Test Start Time: p <br />i <br />`® or <br />Initial Reading (RI): ff( /S <br />5u.S <br />Test End Time: ze) <br />7 YCo <br />/p ®o <br />Ig - <br />Final Reading (RF). <br />Test Duration: r <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or <br />Criteria: <br />TCSt Results ❑ Pass ail <br />❑'.'Pass . `: ail . <br />"Pass . ;, Tari <br />17 Pass ". Ail <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />