1 - Air Selangor
|HYDROSTATIC PRESSURE TEST & LEAKAGE TEST REPORT |Form QT4(a) |
|EXTERNAL PIPELINE | |
| |Page 1 of 2 |
|Name of Development |: | |
| | | |
| | | |
| | | |
| | | |
|Project Reference No. |: | |
1. Pressure Test
|Testing Date |: | |Time : | |
|Preperations for Test |: |Satisfactory / Not Satisfactory |
|Description Of Pipeline |Max|(√) | |Pipe Material |
| |Len| | | |
| |ght| | | |
|Preperations for Test |: |Satisfactory / Not Satisfactory |
| | | | | | |
| |(i) |(ii) | |(iii) | |
|Allowable |= |0.34 liter x |internal |
|Leakage For | | |pipe dia. |
|Steel Pipe | | |(mm) x |
|Pipe Location |(iv) Allowable Leakage* |
| |Page 2 of 2 |
Note: The pressure chart recorder result shall be attached with this report.
| | | |
| | | |
| | | |
|Checked By | | |
|Name |: | |
|Firm |: | |
|CP Registration No |: | |
|NRIC. No. |: | |
| |Signature of Competent Person |
|Date : | |
| | |
|Witnessed By | | |
|Name |: | |
|Staff No |: | |
| |Signature of AIR SELANGOR; |
| |Executives/ Technician |
| |Regional Development Unit |
Date :
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