Shut Off Test Inspection Sheet

Certificate nr 817 Job no.

Date 12-09-2023 Client BUKAKA-PHKT

Valve data

Tag. No. R.A.K 0012 Size 12 INCH

Manufacturer PLIDCO Rating 600
Gas
Serial No. Fluid
Type / Model Split Sleeve
Clamp

Test results

Body test
Test time -
Test pressure -

Leak tests
AB BA
1800
Pressure drop test
Pressure 1.530 psi - Pressure [psi]
1000
Time 15.22 -

Bubble test 0
Pressure - - 00:00 10:00
Time [m:s]
Time - -

Flow test
Pressure - -
Leakage - -

Used transducers -

Tested by Inspected by
Name Dedy Kurniawan Name
Date Date
Signature Signature