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RAW DATA SHEET

HEPA Filter Integrity Leak Test Result

Customer Instrument Used Date


Address Make / Model Calibrated On
Area Of Test Serial No Calibration Due On

Acceptable Result
AHU No Room Name Filter Code Number Leak Limit Upstream Conce. Obtained Leakage in % (PASS /
In % FAIL)

Test Conducted By Witnessed By


Name Name Name

Designation Designation Designation

Signature Signature Signature

Date Date Date

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