Primary Pipe (EN) (single & double wall) - Tightness Test Report

SINGLE WALL - PRIMARY CONTAINMENT

Site Name:

Suction Pressure Fill Vent Syphon VR 1b VR 2 Electrical Conduit

Type of Line:
FROM: Diesel Tank TO: Dispenser Sump

Pipe type: Lined Thin wall fill / vent

Select Primary Pipe Size (highlight or circle relevant column)
UPP Ø mm 32 mm 50 mm 63 mm 90 mm 110 mm 110 mm Fill 160 mm
Wall Thickness 3.0 mm 4.6 mm 4.7 mm 6.7 mm 8.1 mm 6.6 mm 11.8 mm
Pressure Rating PN 10 PN 10 PN 10 PN 10 PN 10 PN 6 PN 10

Conformance Control and Visual Inspection

Number of compression joints in pipe line: 9 Notes:
Number of welded joints in pipe line: 25 Notes:
Welding times marked on all joints? Yes Notes:
Scraping marks? Yes Notes:
Joints square? 7 Notes:
Welding pins extended? Yes Notes:
Pipe routing / separations? Yes Notes:
Minimum fall-back correct? Notes:

Tightness Testing of Primary Containment

PRESSURE TEST
Pressure Test 3.5 bar for up to 63 mm Ø. For larger than 63 mm, use desired working pressure.
Test Medium Air Inert Gas (Nitrogen)
Test time Start Time: End Time: PASS
(at least 90 minutes) Start temperature: °C End Temperature: °C FAIL
Pressure drop m bar over test period

Certification Sign Off

The above described pipe run has been checked for correct installation visually and by means of an integrity test. It has
been found to be installed in accordance with the UPP Systems installation guidelines and has been certified by:

The information given above is true and correct.

Signed by: Date: (day/month/year)

Franklin Fueling Systems • 3760 Marsh Rd. • Madison, WI 53718 USA

Tel: +1 608 838 8786 • 800 225 9787 • Fax: +1 608 838 6433 • www.franklinfueling.com
Franklin Fueling Systems LTD • 8 Olympus Close • Whitehouse Industrial Estate • Ipswich, Suffolk IP1 5LN • UK Tel:
+44 1473 243300 • Fax: +44 1473 243301

©2014 FFS 408001022 rev 2

Primary Pipe (EN) (single & double wall) - Tightness Test Report

SINGLE WALL - PRIMARY CONTAINMENT

Site Name:

Suction Pressure Fill Vent Syphon VR 1b VR 2 Electrical Conduit

Type of Line:
FROM: G 91 Tank TO: Dispenser Sump

Pipe type: Lined Thin wall fill / vent

Select Primary Pipe Size (highlight or circle relevant column)
UPP Ø mm 32 mm 50 mm 63 mm 90 mm 110 mm 110 mm Fill 160 mm
Wall Thickness 3.0 mm 4.6 mm 4.7 mm 6.7 mm 8.1 mm 6.6 mm 11.8 mm
Pressure Rating PN 10 PN 10 PN 10 PN 10 PN 10 PN 6 PN 10

Conformance Control and Visual Inspection

Number of compression joints in pipe line: Notes:
Number of welded joints in pipe line: Notes:
Welding times marked on all joints? Notes:
Scraping marks? Notes:
Joints square? Notes:
Welding pins extended? Notes:
Pipe routing / separations? Notes:
Minimum fall-back correct? Notes:

Tightness Testing of Primary Containment

PRESSURE TEST
Pressure Test 3.5 bar for up to 63 mm Ø. For larger than 63 mm, use desired working pressure.
Test Medium Air Inert Gas (Nitrogen)
Test time Start Time: End Time: PASS
(at least 90 minutes) Start temperature: °C End Temperature: °C FAIL
Pressure drop m bar over test period

Certification Sign Off

The above described pipe run has been checked for correct installation visually and by means of an integrity test. It has
been found to be installed in accordance with the UPP Systems installation guidelines and has been certified by:

The information given above is true and correct.

Signed by: Date: (day/month/year)

Franklin Fueling Systems • 3760 Marsh Rd. • Madison, WI 53718 USA

Tel: +1 608 838 8786 • 800 225 9787 • Fax: +1 608 838 6433 • www.franklinfueling.com
Franklin Fueling Systems LTD • 8 Olympus Close • Whitehouse Industrial Estate • Ipswich, Suffolk IP1 5LN • UK Tel:
+44 1473 243300 • Fax: +44 1473 243301

©2014 FFS 408001022 rev 2

Primary Pipe (EN) (single & double wall) - Tightness Test Report

SINGLE WALL - PRIMARY CONTAINMENT

Site Name:

Suction Pressure Fill Vent Syphon VR 1b VR 2 Electrical Conduit

Type of Line:
FROM: G 95 Tank TO: Dispenser Sump

Pipe type: Lined Thin wall fill / vent

Select Primary Pipe Size (highlight or circle relevant column)
UPP Ø mm 32 mm 50 mm 63 mm 90 mm 110 mm 110 mm Fill 160 mm
Wall Thickness 3.0 mm 4.6 mm 4.7 mm 6.7 mm 8.1 mm 6.6 mm 11.8 mm
Pressure Rating PN 10 PN 10 PN 10 PN 10 PN 10 PN 6 PN 10

Conformance Control and Visual Inspection

Number of compression joints in pipe line: Notes:
Number of welded joints in pipe line: Notes:
Welding times marked on all joints? Notes:
Scraping marks? Notes:
Joints square? Notes:
Welding pins extended? Notes:
Pipe routing / separations? Notes:
Minimum fall-back correct? Notes:

Tightness Testing of Primary Containment

PRESSURE TEST
Pressure Test 3.5 bar for up to 63 mm Ø. For larger than 63 mm, use desired working pressure.
Test Medium Air Inert Gas (Nitrogen)
Test time Start Time: End Time: PASS
(at least 90 minutes) Start temperature: °C End Temperature: °C FAIL
Pressure drop m bar over test period

Certification Sign Off

The above described pipe run has been checked for correct installation visually and by means of an integrity test. It has
been found to be installed in accordance with the UPP Systems installation guidelines and has been certified by:

The information given above is true and correct.

Signed by: Date: (day/month/year)

Franklin Fueling Systems • 3760 Marsh Rd. • Madison, WI 53718 USA

Tel: +1 608 838 8786 • 800 225 9787 • Fax: +1 608 838 6433 • www.franklinfueling.com
Franklin Fueling Systems LTD • 8 Olympus Close • Whitehouse Industrial Estate • Ipswich, Suffolk IP1 5LN • UK Tel:
+44 1473 243300 • Fax: +44 1473 243301

©2014 FFS 408001022 rev 2