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SWRCB, January 2002 <br />Page 3 of <br />Comments — (include information on repairs made prior to testing, and recommended follow-up or failed tests) <br />Test Method Developed By: <br />Test Method Used: <br />Test Equipment Used: l( <br />Piping Material: <br />Piping Manufacturer: <br />Piping Diameter: <br />S. SECONDARY PIPE TESTING <br />XPiping Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />❑ Other (Spec) <br />'i.Pressure ❑Vacuum ❑Hydrostatic <br />❑ Other (Specify) <br />55 A -�-- Equipment Resolution: <br />ng Run # Piping Run # Z Piping Run # Jgti� Piping Run # <br />FAY1/0-1 <br />4- it 1 v� <br />Length of Piping Run: <br />/pp <br />V J <br />i <br />Product Stored: <br />Method and location of <br />piping -run isolation: <br />".-S <br />1iL� f' <br />. e5 e <br />-&ita <br />�S <br />Wait time between applying <br />PP Yh►g <br />pressure/vacuum/water and <br />startin test: <br />,. <br />, (�� <br />/D i'h r ✓t <br />/ Lys <br />Test Start Time: <br />Initial Reading (Rj): <br />Test End Time: <br />C' <br />rr� <br />Fav <br />Final Reading (RF): <br />v <br />_.-- <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or <br />Criteria: <br />f <br />`4t3 <br />f or <br />� <br />Test Result:_ <br />Pass❑ Fail <br />Pace n Fail <br />Comments — (include information on repairs made prior to testing, and recommended follow-up or failed tests) <br />