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SWRCB, January 2002 <br />S CFf'(lNn®Rv piv� rccrrivr <br />Pag 3 of <br />Test Method Developed By: Piping Manufacturer f7, Industry Standard n Professional Engineer <br />171 Other (Sped) <br />Test Method Used: ressure Vacuum E Hydrostatic <br />❑ Other (Sped) <br />Test Equipment Used: -.T t� SSu t q 4� <_ 5 ' SJ <br />Equipment Resolution: t (o <br />Piping Run # j_ <br />Piping Run # Z, <br />Piping Run # 3 <br />Piping Run # <br />Piping Material: <br />[= a baa v ( e, s S <br />F ! u �n °r S <br />-F , <br />Piping Manufacturer: <br />' <br />� . t L" <br />i <br />Piping Diameter: <br />� t <br />t L <br />-3 P p <br />Length of Piping Run: <br />Y, -)y 9 Go r <br />e ) ($O t <br />.1) e l t <br />Product Stored: <br />817 <br />Method and location of <br />piping -run isolation: <br />+ a + <br />VL1 V,,- <br />pp ct <br />7— <br />t <br />a <br />Wait <br />Wait time between applying <br />fi�r�essure/ cuum/water and <br />mg test: <br />i <br />Test Start Time: <br />-7 SZ> <br />-� . q0 <br />Initial Reading (R,): <br />"rp5 . <br />Test End Time: <br />41Y.rap <br />Final Reading (RF): <br />t� , <br />Test Duration: <br />1 CYU - <br />Change in Reading (RF-Rj): <br />°1 � i " <br />� � `. <br />,_7- 1 <br />Pass/Fail Threshold or <br />Criteria:c(" <br />1(, <br />Test Result: <br />Pass ❑Fail <br />ass 0 Fail <br />ass 0 Fail <br />0 Pass ❑Fail <br />Comments —(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />