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Windance Sub-LR 850809
GINN, INC. CONSULTING ENGINEERS Project: Date: Diameter: UTILITY LINE Area: Line: f// Length:/Z/5-&'-~'~ Plan Sheet No: START Time: /2.'1~-' Pressure: PRESSURE TEST ~INISH Time: Pressure: / y~--/g.. , Allowable Leaka,{{e Per Day: (IL&{ gpd) X (.oo~/~miles of pipe) X -~inch Diameter) Gallons Lost Per Day: ( ~.~-' Gal. Lost) + (~Hrs. Tested) Passed: Rejected'. X 2~ Hrs. ,4,,0 START Time: Time: Allowable Leakage Per Day: (250 gpd) X ( miles o£ pipe), X (~ INF I LTRAT,ION/EXFI LTRAT ION TEST , , FINISH inch Diameter) Gallons Lost Per Day: ( Gal, Lost) + ( Hrs. Tested) Passed: Rejected COMMENTS: X 2~ Hrs. = Tested Performed By: __~-~/e/~/----/~- -- Passed or Rejected By: ~~~ 1374-0 Midwav Road · Suite 5~ * Dallas. Texas 75234e Phone 215/~11