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HORNER EZY CHEK PRECISION LINE TEST WORKSHEET <br />OWNER/OPERATOR/!!��. 'r•�r '�TE AGENT <br />ADDRESS '�� �' TELEPHONE � r �� <br />LINE CONNECTED TO TANK# '� INE HAS PLLD YES NO SUCi'IC714 Llly' <br />LINE DISPENSES APPROXIMATE LINE LENGTH TEU' <br />TURBINE MADE ISPENSER ;;/ MAKE_ l <br />TANK TEST EQUIPMENT TO BE IN PLACE DURING LINE TEST ES No <br />LINE TO BE TESTED WITH LINE BLOCK IN PLACE OF PLLD irES NO <br />TURBINE OUTPUT PRESSUR S?� SI TEST PRESSURE TO BE � SSI <br />TEST PRESSURE APPLIED AT 1010 HOURS <br />TIME LINE SRT LINE END k .0037 RESULTS <br />Z 6-z 6 z --- <br />/!4U 6 z-- bz <br />0 <br />IMMEDIATE LINE DROP OF -_W (SFS <br />EST GPH MONITOR <br />LINE INCREASE WHEN PRESSURE REMOVED 3 <br />.ACC:UM. GPH TEST <br />TOTAL GPH <br />BASED UPON CURRENT STANDARDS THE GPH DATA AS SHOWN 6RDO NOT ALLOVt <br />THE LINE TO BE CONSIDERED TIGHT. <br />TEC NICIAN LICE SE NUMBS TEST I� E� <br />r <br />INTEGRITY TAKE TESTING SERVICES P.O. BOX 691376 STOCKTON, CALIFORNIA 95269 <br />(209) 474-1375 (800)262-8378 <br />