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SWRCB, January 2002 <br />5_ Rrrf)Nnef?V PIPF-rrcrr1Xrr <br />Page -3 of <br />Test Method Developed By: ipmg Manufacturer Industry Standard Professional Engineer <br />Other (Spec) <br />Test Method Used: essure ❑ Vacuum Hydrostatic <br />/i,_Other (Spec) <br />Test Equipment Used:?(, -,5; u ✓ :? r;. ,..,p, -• asp /� 'r_ Equipment Resolution: <br />Piping Run # "� - t <br />Piping Run #7-87/"1 <br />Piping Run #,-?-$ 76- <br />Piping Run #q <br />Piping Material: <br />/ , /.. y y <br />',(ire k <br />Piping Manufacturer: <br />f yL, A/!., <br />Piping Diameter: <br />11 <br />r► <br />3 r� <br />Length of Piping Run: <br />Product Stored: <br />Method and location of <br />piping -run isolation: <br />AVX1 <br />%�rr'iM !u w� <br />liffi s G! <br />V76y4ey > t/,fJG*&9" tb <br />y4)X,y 2-16 <br />r !!/ICY <br />Cla 5 ielt 4-.s4 <br />bd-et 5TP` 2- <br />r�Y, ,2S <br />*,/""Y Si��drn <br />J rc�SC. lO5 <br />�*SeL, <br />Wait time between applying <br />essure uum/water and <br />s tS' test: <br />I h o u,. <br />t lt.uu;y <br />11. <br />Test Start Time: <br />/ ,' 3O <br />%/ 3O <br />! . ,� © <br />//. 20 <br />Initial Reading (RI): <br />Test End Time: <br />/Z ; 10 <br />/Z 3v <br />Z. 3 (> <br />/L .3 0 <br />Final Reading (RF): <br />3 <br />5' /05 .__ <br />15 <br />Test Duration: <br />% j'1 D <br />Change in Reading (RF-Rj): <br />77, s..z <br />/] 5 <br />49 f> <br />Pass/Fail Threshold or <br />Criteria: <br />Y+ <br />Nu Lo3Sss <br />a q ��s .r <br />Q v+n ! <br />A^;,af <br />Test Result: <br />x Pass Fail <br />Pass ❑ Fail <br />-P'ass -' Fail <br />- ass ' Fail <br />Com m ents — (include information on repairs made prior to testing and recommended follow-up for failed tests) <br />