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Project Name %A"It"AD L4WDkU-- <br />InspectoesName vuN11 VI&Wrj"l .VALUE <br />Unit Tested W hA 0 4ENGINEERING <br />Date i <br />ANNUAL LCRS CONTINUITY TEST INSPECTION <br />Pump start time: / 0 q 3 Approximate pump flow rate: <br />Does the pump reading indicate continuous flow? YesX No <br />Time Flow Rate(V-jm <br />Tracer Dye Detected (YM <br />N ---- - <br />y <br />- `Yv <br />V <br />Was tracer dye detected from the LCRS sump?�' No <br />If Yes, state approximate migration time to deter Flon 4 149s <br />If No, state possible reason NA- <br />Signature of Inspector <br />Page 2 of 2 <br />1044 <br />e%-<- q M <br />can <br />W) <br />Tracer Dye Detected (YM <br />N ---- - <br />y <br />- `Yv <br />V <br />Was tracer dye detected from the LCRS sump?�' No <br />If Yes, state approximate migration time to deter Flon 4 149s <br />If No, state possible reason NA- <br />Signature of Inspector <br />Page 2 of 2 <br />