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S`rVRCB. 7anuary 20t)2 <br />5. SECONDARY PIPE TESTING <br />Pate of <br />Test :Nlefod Developed By: <br />C Piping i'vlanufaciurer <br />C Other (Specify) <br />dusty Standard C Professional Engineer ; <br />Test Method Used: <br />ressure <br />C Other (Specify) <br />C Vacuum <br />C Hydrostatic <br />Test Equipment Used: .g'r <br />c ° e, <br />Piping Ran Piping Run 9 Z <br />Equipment Resolution: <br />Piping Run 4 <br />Piping Run 4 <br />Piping Material: <br />r <br />Piping Manufacturer- <br />tn <br />Piping. Diameter: <br />Length of Piping Run: <br />'- <br />Product Stored: <br />Method and location of <br />i ing-mn isolation:/ <br />; & -,,N i <br />l w <br />S - <br />•'f m <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (R): <br />Test End Time: <br />; td <br />j <br />Final Reading (am): <br />Test Duration <br />130 `4, <br />Change in Reading ERF -R& <br />2 <br />; <br />Pass/Fail Threshold or <br />Criteria: <br />(� <br />j <br />I <br />Test Result. <br />Pass D Fail:iss <br />0 Feil <br />iss C Fail <br />1 C Pass 0 Fail <br />COMMents — (include information on repairs made orior to <br />and recommended <br />tem) <br />