Construction Mechanical Installation CM-805

PIPE CLEANING REPORT LOG

PROJECT PROJECT NO.

LOCATION CONTRACT NO.

CONTRACTOR REVISION:

Contractor Cleaning Procedure Approved By:

Attach highlighted copy of the P&ID sheet, or piping drawings (isometric dwg), to this test log as a record of verification.
Description Inspection Method Approval Signature
GS Cleaning Visual, Blacklight, Inspection
Line No. and Location Cleaning Method Remarks
Procedure Wipe Test Date Contractor Praxair

Distrubution: Project Manager,

Manager of Construction, project files

Pipe Cleaning Report Log.xls rev 0 12/19/03 Page 1 of 1