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rhum <br />�tHUUUI 2U ZUUb 11:22151- 11:2U/NO. HHUbU(14 P 4 <br />Project Name Fo nwAyt-9 LPrN br-I LL <br />Inspector's Name SVIVIL Je1c,"tipftil <br />Unit Tested UJ M v - -v- <br />Date 10-.0 -L*0-6 <br />I I I <br />(A) PRE-TEST INSPECnON <br />1. Are all potential conduits scaled properly? yes <br />no <br />2. Do any potential conduits require repair? yes_ no�_ <br />I If any of the potential conduits required repair please list - <br />4. Are any repairs needed to continue gas testing? yes no X <br />5. Total number of potential conduits that require repair- 1"JA <br />6. If repairs are required, complete a Maintenance Work Order (M.WO). <br />we -670-17-M-11 INK'ai ARM <br />IZIFMV�RINI <br />�r <br />Aq <br />11, <br />ENCINERRIN <br />i <br />(B) GAS INJECTION PHASE <br />Tracer Gas Used: S!AkP6AY Unit: wM v - <br />-7 •Start time of tracer gas injection: l SS aN, Meter Start Reading: 94 <br />Stop time of tracer gas injection- 3 6 aLoi M eter Stop Reading: < -ES 3 <br />Total volume of tracer gas injected (cubic feet) : 4 h 2. <br />AverageHow rate of injected tracer gas(cubic feet per min.): /'00 <br />N <br />Signature of Inspector, ar!�! " I <br />Page I of 2 0 <br />