Negative Responses Date Found Date Found By Location Reason for Negative Response Resolved Resolved Resolution YES / NO YES / NO YES / NO YES / NO YES / NO B) UNDERGROUND PIPING INSTALLATION CHECKS Questions (See details below) % Date Description of Work Performed Complete Initials 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details Bottom of excavation filled with piping manufacturer specified material and fill beneath piping has been hand tamped following completion of joint installation. Changes in pipe sizes are made with the proper size reducing fittings, reducing elbow or reducing tees, and no bushings are utilized. Carrier piping tested utilizing water at specified pressure and duration as per specification, and all leaks identified during testing have been repaired and test re-done until satisfactory conditions are accomplished. All piping closures tested with air at 25 psig and any leaks identified during testing have been repaired and test re-done until satisfactory conditions are accomplished.
Negative Responses Date Found Found By Location Reason for Negative Response Resolved Date Resolved Resolution YES / NO YES / NO YES / NO YES / NO YES / NO B) UNDERGROUND PIPING INSTALLATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details Bottom of excavation filled with piping manufacturer specified material and fill beneath piping has been hand tamped following completion of joint installation. Changes in pipe sizes are made with the proper size reducing fittings, reducing elbow or reducing tees, and no bushings are utilized. Carrier piping tested utilizing water at specified pressure and duration as per specification, and all leaks identified during testing have been repaired and test re-done until satisfactory conditions are accomplished. All piping closures tested with air at 25 psig and any leaks identified during testing have been repaired and test re-done until satisfactory conditions are accomplished.
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