ST8201-CS 881107GINN, INC.
Project:
Date:
CONSULTING ENGINEERS
UTILITY LINE
Area: ~ Line:
Diameter: J~"F.~, ~.a:~ Length: .3'~Zz~.~. Plan Sheet No: ~z~,~'M,-
PRESSURE TEST
START
Time: /~wf ,M~l Time:
Pressure: /,fS-,~j~ Pressure:
Allowable Leakage Per Day:
(23.$ gpd) X (./f$~miles of pipe) X ( ~ inch
Gallons Lost Per Day:
( ~ Gal. Lost) ~ (
Passed: /~-~
FINISH
Diameter)
Hrs. Tested) X 24 Hrs.
Rejected:
INFILTRAT ION/EXF I LTRATION TEST
START FINISH
Time: Time:
Allowable Leakage Per Day:
(250 gpd) X ( miles of pipe) X (__
Gallons Lost Per Day:
( Gal. Lost) ~ ( Hrs. Tested) X
Passed: Rejected
COMMENTS:
inch Diameter) =
24 Hrs. =
Tested Performed By:
Passed or Rejected By:
13740 Midway Road · Suite 502 · Dales, Texas 75234a Phone 214/3~11