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Feb 05 03 02:29p E]'nn Hathaway (531 755-1950 p.3 <br />Page 2 of <br />NRCB, MAY 2002 <br />. SEC4ND , PIPE TESTING professional Engineer <br />(� piping Manufacturer Industry Standard <br />Test Method Developed by: Other (Specify) Hydrostatic <br />Vacuum <br />Test Method DeveloPressureped by: Q Other (Specify) <br />_ I psi <br />GAUGE Equipment Resolution: <br />Test Equipment Used: PRESSURE Piping Run piping Run # <br />Piping Run # Piping Run # <br /># <br />,4e <br />piping Material: <br />piping Manufacturer: <br />/ <br />piping Diameter: <br />Length of Piping Run: <br />Product Stored: <br />Mcthod and location of <br />pip"g_run isolation: <br />Wait time between applying <br />S <br />pressure starting test: <br />Test Start Time: <br />Initial Reading (R) <br />Test End Time: <br />Final Reading (R►): <br />D <br />Test Duration: <br />Change in Reading (R`, - R,)* <br />� Q PASS [� FA'L <br />Pass l Fail Threshold or Criteria: <br />U FAIL <br />FAIL PASS 1J FAL PASS <br />❑ <br />PASS <br />TEST RESULT: <br />testingand recommended follow-up for faded tests) <br />— (include information on repairs made prior to , <br />Comments <br />