Riverchase(3)-LR 861024GINN, INC.
Proj ect:
Date:
Diameter:
CONSULTING ENGINEERS
UTILITY LINE
INSPECTION AND TESTING
Area: Line:
~ ~ Plan Sheet
Length: ..~2~'7
PRESSURE TEST
FINISH
Time: "
START
Time:
Pres sure:
Allowable Leakage Per Day.:.
(ll.&~ gpd) X (,C/cZ miles of pipe) X (~ inch
Pressure:
Diameter)
Gallons Lost Per Day:
(' ~/ Gal. Lost) + ( ~ Hrs. Tested) X 24
Passed: X/ 77~/ ?//~,-z~,z?~f,~Rejected:
Hfs .
INF ILTRAT I ON/EXF I LTRATION TEST
START FINISH
Time: Time:
Allowable Leakage Per Day:
(250 gpd)' X ( miles of pipe) X (, inch Diameter)
Gallons Lost Per Day:
( Gal. Lost) 4 ( Hrs. Tested) X 24 Hrs.
Passed: Rejected
COMMENTS: ~ '--~.~,,~'~d<.~O~ -~'~ ~
Tested Performed By: _~~_~
.... %,'/- -
137.~0 M~dw~y Ro~a · $~ 502 · DMI~. T~x~.~ 7~2~4~ P~ne 2~1/386-66~ !