7/27/2019 Pneumatic(Leak) Test Report

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INSPECTION CERTIFICATE No.:

DRG No. REV.: LINE No.:

JOB DESCRIPTION: W.O No.:

TEST DESCRIPTION : EQUIPMENT No. :

INSPECTION AGENCY : TEST DATE :

TEST PRESSURE : TEMPERATURE (C) :

HOLDING TIME : TEST POSITION :

(A) GAUGE No. :

(B) GAUGE No. : CALIBRATION VALID UP TO :

TEST RESULT : TEST MEDIUM :

REMARKS IF ANY :

NAME

SIGN

DATE

TIME

CLIENT QC

COMPANY NAME

PNEUMATIC TEST REPORT(LEAK TEST)

CLIENT/CATPI AI

CALIBRATION VALID UP TO :