ATTACHMENT 2 TO SECTION 15210
PIPE PRESSURE AIR TEST LOG
SANBORN ll HEAD
Project No.:
Project Name:
Project Location:
Weather:
Contractor: Test No.:
SHA Personnel: Person/Company Performing the Test:
Date of Test: Time of Test: Finish:
Pipe Length: ~ ft. ripe Diameter: Pipe Material: Pipe SDR/Sch::
Rated Working Pressure: Test Pressure: psi
Location/designation of pipe tested:
t T Pr P.
Time Pipe Temperature Pressure Gauge Reading Pressure Drop
(min.) (°C) (psig) (%)
0
5
10
15
30
60
Pass Fail Retest? Yes No
Description of leaks and repairs of retested pipe segments:
FoF. 100
P.
Oo
P,= Percent Pressure Drop
P, = Initial Pressure Gauge Reading
P; = Pressure Gauge Reading at Time t
Comments:
Signature:
File No. 3066.09
HDPE Pipe, Fittings, and Appurtenances 15210 - 15 of 15
Revised February 2019
