HYDROSTATIC PRESSURE TEST REPORT
|HYDROSTATIC PRESSURE TEST REPORT |Form QT4(b) |
|EXTERNAL PIPELINE & | |
|MAIN PIPE COMPLETE WITH FERRULE AND COMMUNICATION PIPE | |
| | Page 1 of 1 |
|Name of Development |: | |
| | | |
| | | |
| | | |
| | | |
|Project Reference No. |: | |
1. Pressure Test – External Pipeline & Main Pipe Complete With Ferrule And Communication Pipe (Steel Pipe Only)
|Testing Date |: | |Time : | |
|Preperations for Test |: |Satisfactory / Not Satisfactory |
| |Communication Pipe Material |Pressure Test |
| | |(Bar) |
| |All type |6.0 |
|Comm. Pipe Material |External Pipeline / Main Pipe Location |Comm. Pipe Dia. |
| | |(mm)- |
|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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