Project Title:

Description Reinforcement Leak Test Report Form No.

Client Report No.
Owner Date:
Standard Page
Doc. No. RFIN No.:
Equipment Tag No : Drwg No.
System No. Sub-System No.

Tank No. : Item Description :

Test Type : Hydro Pneumatic Pneumatic Hydrostatic

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Test Medium : Water Air Others Soap Water

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Air Pressure : 10 Bar(g) Psi(g) Others mbar(g)

________
✘

Required Holding Time : __________________

30 Minutes S2314
Pressure Gauge Serial No. : __________

TESTED ITEM
Result
Sr. Mark No. Date of Test Holding Time Remarks
ACC/REJ
1 A11 27.11.2017 30 MIN ACC

2 PR20 27.11.2017 30 MIN ACC

3 F17 27.11.2017 30 MIN ACC

4 TP49 27.11.2017 30 MIN ACC

5 M1 27.11.2017 30 MIN ACC

10
Legend; N/A : Not Applicable, ACC : Accept, REJ : Reject

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S231477
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