Northlake WE P12-CR 900618 The City With A Beautiful Future
UTILITY LIN£
INSPECTION AND TESTING
Project: ~ ~ez~ /-¢¢~- ,~,r~',,'~
Date: /~, ~-~-2,~/ To Area:
P.O. Box 478
CoppelI. Texas 75019
214 - 462-0022
Line
..ESS.RES MA..REL
START FINISH
Test per formed By:_
Inspected By:
COMMENTS: /, ¢,v'~
Contractor:
The City With A Beautiful Future
UTILITY LINE
INSPECTION AND TESTING
R O. Box 478
Coppell, Texas 75019
214 - 462-0022
Project: x~_~ t_~4: ~,.4~¢~1~.,-~t,¢ '~ /2-
Date: /,¢_To~ ~o Area: Line:
Diameter:
Length:
Plan Sheet No
PRESSURE TEST
START
Time: ~:z':,~
Pressure: /~
Allowable Leakage Per Day:
(ll.&~ gpd) X [,0~ miles
Gallons Lost Per Day:
( .~' Gal. Lost)
Passed:.. ~~
FINISH
Time: /:z¢
Pressure:
of pipe)
_ inch Diameter)
Hrs. Tested) X 24 Hrs. = ~ ,
~' Rejected:
INFILTRATION/EXFILTRATION TEST
START FINISH
Time: Time:
Allowable Leakage Per Day:_
(250 gpd) X ( miles
Gallons Lost Per Day:
( Gal. Lost) ~ (
Passed:
COIV~IENTS:
of pipe).X (
Hrs. Tested)
Rejected
inch Diameter)
X 24 Hrs. =
Tested Performed By:
Passed or Rejected By: