SC-Mockingbird E4-LR 900612The City With A Be '
UTILITY
INSPECTION AND
LINE
TESTING
R O, Box478
CoppelI, Texas 75019
214 - 462-0022
Project: ~o~p~u-- EL[~i-32¥ ~6~4-~
Date: ~Z klD~ ~z) Area: Line:~¢~
Diameter: ~" Length: ~ c~ Plan Sheet No:
PRESSURE TEST
START FINISH
Time: --e~ ./~;~.~o Time:
Pressure: ~lO ~!/~?~ Pressure:
Allowable Leakage Per Day:
(ll.&~ gpd) X (.~1 miles of pipe) X (~ inch Diameter)
Gallons Lost Per Day:
( z~f Gal. Lost) ~ (f. Hrs. Tested) X 24 Hrs.
Passed:/' /~~~~-- Rejected:
COM~IENTS:
INFILTRATION/EXFILTRATION TEST
START FINISH
Time: Time:
Allowable Leakage Per Day:
(250 gpd) X (__miles of
Gallons Lost Per Day:
( Gal. Lost) ~ (
Passed:
COM~IENTS:
pipe).X ( inch Diameter)
Hrs. Tested) X 24 Hrs. =
Rejected
Tested Performed By:
Passed or Rejected By:
CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR UNDERGROUND PIPING
PLANE
INSTRUCTIONE
TEST
DESCRIPTION
FLUSHING
TESTS
Class 200 PVC ~ Ductile C1 51I Me_~hanical
~¥u CNG
qPE CONFORMS TO N~PA 94 ,, STANOARD
[~YES
°"£"'"%oPE.
STANOARO C~YES ["""1 a O
~PUSLICWATER []TANKORRESERVOIR []FIREPUMP []YCONN,TOFLANGE&SPIGOT []OPENPIPE