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Project Name txwLpwbau_ 4VALUE <br /> ENCINERRIP6 <br /> Inspector's Name O N I L ki-SH N -1 <br /> Unit Tested W - E <br /> Date <br /> ANNUAL LCRS GAS TEST INSPECTION <br /> (A)PRE-TEST INSPECTION <br /> 1. Are all potential conduits sealed properly? yes__)�_ no <br /> 2. Do any potential conduits require repair? yes no <br /> 3. Tf any o 1*the potential conduits required repair please list: tVIA <br /> 4. Are any repairs needed to continue gas testing? yes no�_ <br /> 5. Total number of potential conduits that require repair: NJ <br /> 6. If repairs are required, complete a Maintenance Work Order(MWO). <br /> Comments:-Ait nn�6 .&&m vy� I ijeeA�m <br /> 12 CUPKO <br /> t <br /> (B) GAS INJECTION PHASE <br /> Tracer Gas Used-, m�, a, Unit- PYA U—� _ • <br /> Start time of tracer gas i Meter Start Reading: <br /> Stop time of tracer gas injection: I ( SY A'L Meter Stop Reading: 010 <br /> Total volume of tracer gas injected(cubic feet) : /0,_q <br /> Average flow rate of injected tracer gas(cubic feet per min.):_O, 1 — <br /> Comments: wao rY -t(,z 2 a-;p <br /> f LA-11a, <br /> Remedial Action Work Order Date Completed Signature <br /> Signature of Inspector <br /> Page I of 2 <br />