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Windance Sub-LR 850822
GINN, INC. Project: CONSULTING ENGINEERS UTILITY LINE INSPECTION AND TESTING Date: o~-,,~- ~'-- Area: Line: Diameter: ~ Length: 6-//~~ ~/ Plan Sheet PRESSURE TEST No: START Time: ,~:ZO ~Tf. Time: Pressure: /~/~. Pressure: FINISH Allowable Leakage Per Day: ~ (li.&l' gpd) X (,OOgdmiles of pipe) X [-~_inch Diameter) Gallons Lost Per Day.: ( /, ~ Gal. Lost) Passed' -- ~ CO ENTS: Hrs. Tested) X Rejected: INFILTRATION/EXFILTRATION 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 2~ Hrs. = Passed: Rejected COMMENTS: Tested Performed By: ~/0 Passed or Rejected By: 137t0 Midwav Road · . rote 502 · Dallas, Texas 75234~ Phone 214/386-6611