Laserfiche WebLink
Project Name 5AMLA .p Lftol'•�t-t <br />Inspector's Name 90") L kt SHpmo I <br />Unit Tested WA U —F <br />Date , ' +- $-8--- T <br />.4"16UE <br />, ENGINEERING <br />(A) TRACER DYE PRE -TESTING PHASE <br />1. Is the LCRS sump pumped for liquids prior to testing? yes )e, no <br />2. Was a pre -testing LCRS sample collected for observation? yes_ no <br />3. If the sump was not pumped prior to testing, state reason: NA <br />4. Is the entry port free and clear of accumulated debris? yeses_ no <br />5. Are any repairs needed to the port prior to LCRS continuity testing? yes no ) <br />6. Total number of ports that require repair: <br />7. If repairs are required to the entry port, complete a Maintenance Work Order (MWO). <br />(B) TRACER DYE INJECTION PHASE <br />N�•7 y n Tracer Dye Used: &o - V AAL a b4 r-- Unit: W +N V — <br />( Start time of tracer dye injection: 10 59- Tank Start Reading (gal.): 20 o O <br />Stop time of tracer dye injection: 1 13'z Tank Stop Reading (gal.): O. O <br />Total volume of tracer dye mixed (ml) : go ml <br />Total volume of tracer dye solution injected in the unit (gallons): "L -d ®• O <br />Average flow rate of injected tracer dye solution (gallons per min.): 5.4 <br />Comments: IAA W <br />W" w a -th <br />Remedial Action Work Order Date Completed Signature <br />Signature of Inspector. J_--- <br />Page 1 of 2 <br />