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Project Name WMIA--�&wau- dVALUE <br /> ® Inspector's NameL ENGINEERING <br /> M <br /> Unit Tested V -wes <br /> Date n::� <br /> ANNUAL LCRS GAS TEST INSPECTION <br /> (A)PRE-TEST INSIPECTION <br /> 1. Are all potential conduits sealed properly? yes--X1no <br /> 2. Do any potential conduits require repair? yes no X <br /> 3. if any of the potential conduits required repair please list: N41 <br /> 4, Are any repairs needed to continue gas testing? yes no_)(_ <br /> S. Total number of potential conduits that require repair: <br /> 6. If repairs are required,complete a Maintenance Work Order(MWO). <br /> Comments. <br /> 0� /h e�.� . <br /> �. <br /> (B) GAS INJECTION PHASE <br /> Tracer Gas used: ��wQAhdw �' s� unite. U� <br /> Start time of tracer gas injection: /?: 1 t7 PA Meter Start Reading: D/O a <br /> Stop time of tracer gas injection: 01 Meter Stop Reading: 0 7- <br /> Total <br /> Total volume of tracer gas injected (cubic feet) : / ®e ?- _ <br /> Average flow rate of injected tracer gas(cubfe-feet per min.): 0, 32- <br /> Comments: <br /> , 3ZComments: A &4 V of C utin►, 0( � s <br /> tN� <br /> Remedial Action Work Order Date Completed Signature <br /> Signature of Inspector <br /> Page 1 ®f 2 <br /> 4 iJ� V VLG L9 �Ii 1v vY 1��� _ r ✓ _ _ _ v 1 QJ/ , <br />