Hydrostatic - Tightness Test Report (EN)

SINGLE WALL - PRIMARY CONTAINMENT

Site Name:

Suction Pressure Fill Vent Syphon VR 1b VR 2 Electrical Conduit

Type of Line:
FROM: TO:

Pipe type: Lined Thin wall fill / vent

Select Primary Pipe Size (highlight or circle relevant column)
UPP mm 32mm 50mm 63mm 90mm 110mm 110mm Fill 160mm
Wall Thickness 3.0mm 4.6mm 4.7mm 6.7mm 8.1mm 6.6mm 11.8mm
Pressure Rating PN10 PN10 PN10 PN10 PN10 PN6 PN10

Conformance Control and Visual Inspection

Number of compression joints in pipe line: Notes:
Number of welded joints in pipe line: Notes:
Welding times marked on all joints? Notes:
Scraping marks? Notes:
Joints square? Notes:
Welding pins extended? Notes:
Pipe routing / separations? Notes:
Minimum fall-back correct? Notes:

Hydrostatic Tightness Testing Readings

PRESSURE TEST
Minutes from start of test 2 4 6 8 10 15 20 25 30 40 50 60 70 80 90 PASS

Pressure reading (Bar) FAIL

Certification Sign Off

The above described pipe run has been checked for correct installation visually and by means of an integrity
test. It has been found to be installed in accordance with the UPP Systems installation guidelines and has been
certified by:

_________________________________________________________________________________________
The information given above is true and correct.

Signed by: ________________________________________ Date: ________________(day/month/year)

Franklin Fueling Systems 3760 Marsh Rd. Madison, WI 53718 USA

Tel: +1 608 838 8786 800 225 9787 Fax: +1 608 838 6433 www.franklinfueling.com
Franklin Fueling Systems LTD 8 Olympus Close Whitehouse Industrial Estate Ipswich, Suffolk IP1 5LN UK
Tel: +44 1473 243300 Fax: +44 1473 243301
2012 FFS 408001024 rev 1