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SWRCB, January 2002 <br />,N-XK*7Z1fi �-,, *V IN01 <br />11 <br />Page -Z— of <br />Test Method Developed By: 0 Piping Manufacturer ErIndustry standard 0 Professional Engineer <br />D Other (Specify) <br />Test Method Used:rressure 0 Vacuum 0 Hydrostatic <br />0 Other "'Spec.ffy, <br />Test Equipment Used-, <br />Piping Run 47 Piping Run <br />Equipment Resolution: <br />Piping Run # Piping Run # <br />Piping Material: I, -&CL <br />Piping Manufacturer: -L) <br />Piping Diameter: 7-ri <br />Length of Piping Run: 5P . <br />I <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 />Test Start Time: <br />Initial Reading (RI): <br />Test End Time: %Z> <br />Final Reading (R,;): <br />Test Duration: <br />Change in Reading (RF -R4): <br />Pass/Fail Threshold or <br />Criteria: <br />Test Result, D-PassL�,aff;Pass <br />Fail; <br />D Pwi: 0 Fail <br />_0 pais <br />Comments — (include information on repairs "prior to testing, and recommended follow-up for failed tests)' <br />