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Mar.03.2012 02:37 PM RAWnvironmental 559 291#445 PAGE. 4/ 10 <br />I W <br />SWRCB, January 2002 <br />Test Method Developed By: <br />Test Method Used: <br />Test L-Auivment Used: 9 <br />14 <br />.11W.1 X61130)YA ve U N 411 <br />0 Piping Manufacturer rpndustry <br />[1 other (Specify) <br />9PPressure U Vacuum <br />11 Other Npecifv) <br />Page _ of <br />Standard U Professional Engineer <br />0 Hydrostatic <br />Equipment Resolution; <br />Comments :::�cludeins ' ation on repairs made plior to testing, and recomm!!Ld!L4 it/low-up for felled tests). <br />P=pj Run # <br />Piping kun i N�"m <br />Piping Run # <br />Piping izuz-",r#, <br />Piping Material: <br />Piping Manufacturer: <br />I I <br />oo'hc) <br />V, <br />t <br />Sv,-'4vl <br />A,b !4 <br />NJ <br />Piping Diameter <br />7'r <br />Length of Piping Run: <br />95, <br />95 <br />Product Stored: <br />Method and location of <br />Riping-run isolation. <br />— <br />ty <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (R,): <br />96T <br />5,. 9 be <br />2,f2M <br />S 9 <br />Test End Time: <br />%-T <br />I -AC) <br />Final Reading (Pkp):bf-s <br />al <br />Test Duration; <br />ht, <br />I Vic <br />hT, <br />Change in Reading (Rh -R,): <br />(2.f)jj_ <br />0 P5 <br />0 IP6,T- <br />0 9-:51 <br />Pass/Fail Threshold or <br />Criteria: <br />Y1a <br />no <br />&cr—Av <br />Test Result: <br />Pas <br />0 Fail <br />ra Pas j <br />0 Fail <br />JPPass 0 Fail <br />nss ❑ C+ail <br />Comments :::�cludeins ' ation on repairs made plior to testing, and recomm!!Ld!L4 it/low-up for felled tests). <br />