PARTIAL TEST REPORT

STAGNANT
Project _______________________
FM/IK/ODR/MEP-003-02 Rev: 0 Halaman 1 dari 1

Location : _____________________________ Installation No. : _____________________________

Level : _____________________________ Service : _____________________________
Test Date : _____________________________ Drawing Ref. : _____________________________
Report Date : _____________________________

Stagnant Test Media

Water nitrogent

Air __________________

Duration Time Test

2 hours 8 hours 24 hours

4 hours 12 hours ________ hours

Time Date Result

Start cm

Finished cm

Pressure Losses cm

Drawing Reference

Attached

Not Attached

_________________

Test Result Equipment Test Comments

Approved

Not Approved

Re -Tested

Approved by, Checked by, Tested by,

_________________________ _________________________ _________________________

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