Laserfiche WebLink
`_a. _ IE�(UIIIP?i3QIEFi'II' • 55�IESg • II�TSg'II'AILtI.�7TII®IY • 0IEIP3UIIcCIE <br />t <br />PF-90-LEUM E(�l1(nttlE�iT' z•u�ar�sreamorrr.�srro:raa«ow+w.�o�• r� ��:'ft�.�,:�,a.,•�. <br />CARPO/HILLER PL400 PIPE LINE TIGHTNESS TESTER <br />Owner/Operator : %�/rSGcI <br />City, St. , Zip : _721,V,_ -•Z e,0- 4.537 <br />Site Agent <br />Line Connected to Tank Number/Location : C12— <br />Site Address <br />County icJs.� c A42411 A,14�' <br />Telephone' No.: <br />Product Line Dispenses ,P 9 Approximate Line Length (in Feet) !L <br />Line Material Line Has P.L.L.D/ No <br />Turbine Make % Model 7.j- ler Dispenser Make / Model <br />Tank - Test Equipment to be in Place During Line Test: Yes / <br />Line to be Tested With a Line -Block in Place of P.L.L.D. -e No <br />Turbine Output Pressure P.S..r. Test.Pressure to be P.S.I. <br />Time Initial Final volume Leak Average <br />/531i Pressure Pressure Displaced Rate Leak Rate <br />Using the Campo/Miller PL -400 Pressurized Piping Tightness Testing Equipment and test methods <br />the results as shown ow `o not allow the line to be considered product tight. <br />Final Results : - G-P.H_ <br />Tester' License too. <br />Test Date fly <br />Tester's Signature _L�-- <br />'EI <br />• :UE.i .;t=rtv..; iitCtcpr.w _ rR . <br />v5 E+ wC a COrttaQt557c!. - ;J.tRUCr.>5uSIBt! <br />sU:E otmtn<• c. crrCE Str.:.Jr:aOZ7t[S6PU((7.�rK: - v _ • r. •. -�. ? 6 ur�td i°!:07nn ::>:... :r. <br />• itfa.:.,;rarr!: :r. .•aopar.[CG tar :�t. •'t. <br />rawO IOCkS <br />