NO.
DISTRIBUTION PRESSURE TEST CERTIFICATE
Contact No. ………………
Job Voucher No. ………………
Date ………………………………
Site …………………………………………………………………………………
Specified Test Pressure ………………………… M / Bar
Location Ref. ………………
Test Medium ……………………………..
Length Of Main / Sevice Under Test ………………………………………………….. Meter …………………
Size Of Main / Service Under Test …………………………………………………….. mm …………………
DURATION OF TEST
Time On …………………………
Time Off ………………………………..
Initial Reading M / Bar
Final Reading M / Bar
Gauge Pressure
(1) …………………………
…………………………………………..
Barometric Pressure
(2) …………………………
…………………………………………..
(A)
(B)
…………………………………
………………………………………………
Absolute Pressure
(1) + (2)
ACTUAL PRESSURE LOST
(B) - (A)
…………………………………………………………………………..
Test Passed / Failed
HAS TEST PRESSURE BEEN LEFT ON
Yes / No.
Certified Correct ………………………………………………………………………………….
Fayum Gas
Date.
/
/
Date.
/
/
…………………………………………………………………………………..
Client
DISTRIBUTION: