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ARC,01�� r s <br />y p <br />S. <br />Test Method Developed By: <br />-.Piping Manufacturer <br />O Other (Spec) <br />14 Industry Standard ❑ Profeisional Engineer <br />Test Method Used: <br />;LPressure <br />❑ Other (Spec) <br />❑ Vacuum ❑ Hydrostatic <br />Test Equipment Used: 3.5 <br />F <br />Piping Material: <br />I h CV Ct Equipment Resolution: 0.'), P S T <br />Piping Run #Ij j'j!kOj Piping Run #^+` Piping Run # Piping Run # <br />j= <br />Piping Manufacturer: <br />N-0 S m: rt Lti <br />Piping Diameter, <br />4 1 V% ct, <br />Length of Piping Run: <br />!OFeet <br />Product Stored: <br />$! O od ade <br />Method and location of <br />piping -run isolation: <br />a me a Cots <br />P e j V1 G UM Q <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />)s M i Yl (&t e S <br />Test Start Time: <br />9! if AM <br />Initial Reading (Rj): <br />5. q, P S I <br />Test End Time: <br />6 APA <br />Final Reading (RF): <br />5.+ PS'[Test <br />Duration: <br />, CI.r <br />Change in Reading (RE Rj): <br />O,o P S i <br />Pass/Fail Threshold or <br />Criteria: <br />_ <br />Tess Resatt. :.... . <br />;` :.;Pass::::❑.Fait.:::: <br />- a <br />_ s0:e Pas <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Paee 3 of 7 <br />1/13/2003 <br />\0 <br />