~·------·-- · - · ·-· --- - · Prepared b~ • ~~- \k~ -- --- Page No.: DATE: _L;;., W.O. ____ I MONTAUK SERVICES, INC. HYDROSTATIC TEST REPORT
owNER: 511'1.l.//4:Lfce G,,, s cusToMER: Ove/"' rJ U/lJe;f' LocAT10NoFTEsT: )'j2C l/\:J 0cove '] VALVES, FITTINGS, ETC. :. ______ T E~T INSTRUMENT SERIAL NUMBERS: Gc.c.1b{ ~n73!2 DEAD WEIGHT TESTER Cf107 PRESSURE RECORDER -=:_...... i..... : '-//,:_6:-:_-:_-:_-:_-:_ TEMPERA TURE RECORDER..,...l._..38.,..,,b'----- A"°' re + VV\ o \\ \. \ Q 5 I o ~ DATE TIME PRESSURE! TEMP. . DEAD WEIGHT REMARKS RECORDER ~ECORDE TfSTE!R (PSIG) /i (OEG.F) l 10 ~D )~ :4) r~' :o D \~2 d,~- 15 '~~ -;).',.)-0 \~~:> J,'.l\) ~--;. 1··00 .hL\ ) ..\S' :,)...'-\ - P~epared~~y - w~ --\kde Pag; N~: :--~-~l i ---- DATE: _ /)..C, I_ W.O. ____ I * MONTAUK SERVICES, INC. ~ HYDROSTATIC TEST REPORT OWNER:______CUSTOMER: ______ LOCATION OF TEST: ______ TEST PRESSURE: ------WALL THICKNESS: PIPE DIAMETER: ------LENGTH: ______VALVES, FITTINGS, ETC.:. ______ TEST INSTRUMENT SERIAL NUMBERS: DEAD WEIGHT TESTER ------PRESSURERECORDER ------TEMPERATURE RECORDER---- DATE TIME PRESSURE TEMP. DEAD WEIGl'fT PRESSURE REMARKS RECORDER AECORDER TfSTl!!R GAUGE (PSIG) (DEG.F) V (PSIG) r;T t /,).q/,.,- 1·~ JOM t125 1£1 SI 111'.J I ):25" Sb I I r ?, ~ '-{) \)1-5 bo 51 \1,L.S- \':>l z 0 z0 ( - ~ G\3\lhiC cont\015 l\,C ~~_,,~.\k re\,Y c\-\~RI ~o. MC M\-\50f ===Wd 9 1 , ~:::::::::::::± L ==- ,, ' c D 203 EGEL AVENUE • MIDDLESEX, NEW -JERSEY 08846 CERTIFICATE OF CALIBRATION DATE CALIBRATED: 05/04/15 INSTRUMENT CALIBRATED: 12" Clif Mock Pressure Recorder INDICATED RANGE: 0-3000 psi ACCURACY: 0.5% SERIAL NUMBER: 6466 ALL ST AND ARDS DIRECTLY TRACEABLE TO NATIONAL INSTITUTE OF STANDARDS & TECHNOLOGIES TEST# P7067 & TEST# 212.31/18094, PROCEDURE WI-0001 TYPE OF STANDARD USED TO CALIBRATE: CHANDLER ENGINEERING DEAD WEIGHT TESTER MODEL 02-0010-B-T, SIN 7858. I ' ~ CALIBRATED BY: ~: · l ~--+'°"""""'~~~=- CERTIFICATE OF CALIBRATION DATE CALIBRATED: 05/04/15 INSTRUMENT CALIBRATED: Chandler Eng. Dead Weight Gauge INDICATED RANGE: 50-3000 psi ACCURACY: 0.05% SERIAL NUMBER: 9907 ALL STANDARDS DIRECTLY TRACEABLE TO NATIONAL INSTITUTE OF STANDARDS & TECHNOLOGIES TEST# P7067 & TEST# 212.31/18094, PROCEDURE WI-0001 TYPE OF STANDARD USED TO CALIBRATE: CHANDLER ENGINEERING DEAD WEIGHT TESTER MODEL 02-00lQ-B-T, SIN 7858. ~ 1 CALIBRATED ~Y: ---"-/_,.,,f· ~~.;.;,.t.=,,.,,~ -""'=J (732) 560-1509 1-800-354-4244 (7 32) 560-0064 Fax www. pipelinesupplyn j. com c D 203 EGEL AVENUE • MIDDLESEX, NEW .JERSEY 08846 CERTIFICATE OF CALIBRATION DATE CALIBRATED: 05/04/15 INSTRUMENT CALIBRATED: Clif Mock Temperature Recorder INDICATED RANGE: 0 - 150° Fahrenheit ACCURACY: 1.0 °/o SERIAL NUMBER: 1386 CALIBRATED IN ACCORDANCE WITH MIL STD. 45662A & ANSI Z- 540-1994 TRACEABLE TO NIST# 27620. TYPE OF STANDARD USED TO CALIBRATE: TECHNE TECAL 140S TEMPERATURE CALIBRATOR SIN 87062-4" USING TEST PROCEDURE #10103 TRACABLE TO NIST TEST #46883, #46897. :· < ~~ 0 ') CALIBRATED BY: ' d-- l ML Peter P. Walters Pipeline Supply Co. (732) 560-1509 1-800-354-4244 (732) 560-0064 Fax www.pi pelinesupplynj .corn c 203 EGEL AVENUE • MIDDLESEX, NEW c..JERSEY 08846 CERTIFICATE OF CALIBRATION DATE CALIBRATED: 05/04/15 INSTRUMENT CALIBRATED: Barton Temperature Recorder INDICATED RANGE: 0 - 150° Fahrenheit ACCURACY: 1.0 °/o SERIAL NUMBER: 111125147012 CALIBRATED IN ACCORDANCE WITH MIL STD. 45662A & ANSI Z- 540-1994 TRACEABLE TO NIST# 27620. TYPE OF STANDARD USED TO CALIBRATE: TECHNE TECAL 140S TEMPERATURE CALIBRATOR SIN 87062-4, USING TEST PROCEDURE # 10 I 03 TRACABLE TO NIST TEST #46883, #46897. 0~ ' CALIBRATED BY: /-d~ -~ ~a ..L Peter P. Walters Pipeline Supply Co. (732) 560-1509 1-800-354-4244 (732) 560-0064 Fax wwwpipelinesupplynj.com c D 203 EGEL AVENUE • MIDDLESEX, NEW .JERSEY 08846 CERTIFICATE OF CALIBRATION DATE CALIBRATED: 05/04/15 INSTRUMENT CALIBRATED: 12" Foxboro Temperature Recorder INDICATED RANGE: 0- 150 deg. F ACCURACY: 1.0 % SERIAL NUMBER: 5235460 CALIBRATED IN ACCORDANCE WITH MIL STD. 45662A & ANSI Z- 540-1994 TRACEABLE TO NIST# 27620. TYPE OF STANDARD USED TO CALIBRATE: TECHNE TECAL 140S TEMPERATURE CALIBRATOR SIN 87062-4, USING TEST PROCEDURE # 10103 TRACABLE TO NIST TEST #46883, #46897. --- . CALIBRATED 1~~-~=· ·:::.::....;,.=.' =----=-~~~---/ Jbmes A. Westerman ;ipeline Supply Co. (732) 560-1509 1-800-354-4244 (732) 560-0064 Fax www. pipelinesupplynj.com TRITON SYSTEMS, LLC. 84 A Johnson Avenue Hackensack, New Jersey 07601 (210) 525-0557 FAX (201) 525-1787 CALIBRATION CERTIFICATE DATE CALIBRATED: May 27, 2015 INDICATED RANGE: 0-3,000 psi ACCURACY 1/4 OF 1 % TYPE OF INSTRUMENT CALIBRATED : Crystal Test Ga~ge SERIAL NUMBER: 257730 TYPE OF STANDARD USED TO CALIBRATE: ALL STANDARDS DIRECTLY TRACEABLE TO NATIONAL INSTITUTE OF STANDARDS AND TECHNOLOGIES TEST NO: P7067 & 212.31/18904 INSPECTOR (PRINT NAME)