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PARTIAL TEST REPORT

GRAVITY
Project _______________________
FM/IK/ODR/MEP-003-03 Rev: 0 Halaman 1 dari 1

Location : _____________________________ Installation No. : _____________________________


Level : _____________________________ Service : _____________________________
Test Date : _____________________________ Drawing Ref. : _____________________________
Report Date]: _____________________________

Media Test Gravity :

Water nitrogent

Air __________________

Duration Time Test :

5 minutes 15 minutes

10 minutes ________ minutes

Test Result :

Good

Blocked

Drawing Reference

Attached

Not Attached

_________________

Test Result Equipment Test Comments

Approved

Not Approved

Re - Tested

Approved by, Checked by, Tested by,

_________________________ _________________________ _________________________

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