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Project Nwne Fz>9w.4tq> 4vy <br />_LL <br />Tnspcctox'sNaW_, <br />Unit Tested <br />Date - <br />ANNUAL LCRS GAS TEST INSPECTION <br />(A) PRE-TEST INSPECTION <br />I . Are all, potential conduits sealed properly? ycs___:��, no.--. <br />2. Do any potential conduits require repalr? Yes— no_ --/I- <br />3. If any of the potential conduits required repair Please- list - <br />4. Are any repairs needed to continue gas testing? yes�_ no_)�__ <br />5. Total number ofpotential conduits that require repair: hx­-� , <br />6. If repairs are required, complete a Maintenance Work Order (MWO). <br />Kkww_ <br />�= 10 <br />(B) GAS INJECTION P3ASE <br />Tracer Gas Used:'t rlo— Unit: W KU �U <br />Start time of tracer gas milucti n: q aA.. meter start Reading: 6 3 <br />Stop time of tracer gas irjection: /1',q0Akn Meter Stop Reading64'W-_J <br />Mi <br />Total volu= of tracer gas injected (cubic fvet) ct4- <br />v <br />ow rate of iniectcd tracer as(mibk feet =min.): 0. 0 Ste. <br />Signature of Inspector <br />E <br />