HomeMy WebLinkAboutProduct Line Test Results 3-3-2016RICH ENVIRCINMEN LaL
5643 BROOKS CT. BAKERSFIELD, CA. 93308
OFFICE (661)392-8687 FAX (661)392-0621
ACMTE TM PIPELINE TESTER
TEST RESULTS WORK SHEET
DATE: W/o #:
FACILITY NAME: ts -rA A 1 .1.
FACILITY ADDRESS: lo.103
PRODUCT LINE TYPE: FIBERGLASS STEEL PLASTIC (CIRCLE ONE)
SYSTEM TYPE: PRESSURE SUCTION GRAVITY (CIRCLE ONE)
TURBINE MANUFACTURER:
PRODUCT
GRADE
START TIME
INITIAL
READING
0H
0:00/GPH
END TIME
FINAL
READING
00:00/GP
TEST
PRESSURE
(P.S.I.)
VOLUME
RATE
(G.P.H.)
RESULTS
PASS
OR
FAIL
0
LAM
.......................
o03
PA .57S
(P)p'
I CERTIFY THAT THE ABOVE LINE TESTS WERE CONDUCTED ACCORDING TO THE
EQUIPMENT MANUFACTURERS PROCEDURES. THE TEST RESULTS AS LISTED IS TRUE AND
ACCURITE TO THE BEST OF MY KNOWLEDGE.
THE TEST PASS/FAIL STATUS IS DETERMINED USING A THRESHOLD OF 190 ML PER HOUR,
(0.05 G.P.H.), RATE AT I '/: TIMES OPERATING PRESSURE, OR 50 P.S.I. WHICH EVER IS GREATER.
TECHNICIAN: 91 c14 STATE LICENSE #:
SIGNATURE: MFG. CERTIFICATION #: