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4VALUE <br /> Project Name Fo-whft - LAA C. <br /> Inspector's Name S U tj I LI<LS-- <br /> RmT�77 ENGINEERING <br /> Unit Tested WMV- F <br /> Date- 8-14-7-00'F <br /> ANNUAL LCRS GAS TEST INSPECTION <br /> (A)PRE-TEST INSPECTION <br /> 1. Are all potential conduits sealed properly? yes__X_ no <br /> 2. Do any potential conduits require,repair? yesno___)< <br /> 3. If any of the potential conduits required repair please list: N A <br /> 4. Are any repairs needed to continue gas testing? yes� no__& <br /> S. Total number of potential conduits that require repair: NA <br /> 6. If repairs are required,complete a Maintenance Work Order(MWO). <br /> Comments: VY +D ao <br /> T),e S/4e <br /> (B)GAS INJECTION PHASE <br /> Tracer Gas Used: Jluu4v Unit: WN!V- <br /> 0 <br /> Start time of tracer gas Injection: 0-'S-A Al meter start Reading: 3 q 7. <br /> Stop time of tracer gas injection: Meter Stop Reading: <br /> Total volume of tracer gas injected(cubic feet) : //-Q <br /> Average flow rate of injected tracer gas(cubic,feet per min.): <br /> Comments: a�("�Vt flJY1'w q p" <br /> C4-A AA,0,A <br /> Remedial Action 7-Work Order Date Completed Signature <br /> Signature of Inspector <br /> Page I of 2 <br />