Riverchase(2)-CS 880714 .. O. Box 478
Coppell, Texas 75019
The City With A Beautiful Future 214-462-0022
UTILITY LINE
INSPECTION AND TESTING
Date: -7/ /9/ Area: Line:
Diameter: Length: Plan Sheet No:
PRESSURE TEST
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Time: ~ ,' O(_~ ~ Time:
Pressure: rS-CD Pressure: ~ ~ c~
A__llowable Leakage Per Da},:
(Il.&5 gpd) X ( miles of .pipe) X ( inch Diameter)
Gallons Lost Per Day:
( Gal. Lost) ~ (__Hrs. Tested) X 24 Hrs.
Passed: / Rejected:
INFILTKATION/EXFILTKATION TEST
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Time: Time:
Allowable Leakage Per Day:
(250 gpd) X ( miles of pipe).X (__inch Diameter)
Gallons Lo£~ Per Day:
( Gal. Lost) ~ ( Hrs. Tested) X 24 }irs. =
Passed: Rejected
CO~ENTS:
Te~!ed Performed By:
r Rejected By: