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Report BERGEN CONSTRUCTION, INC. 7488 ACORN HILL CT SALEM,OREGON 97317 . / ✓J 14-C/ BERGCONINC.COM 7 ff�a W ?cf./ 2 0 OFFICE/FAX 503-363-1510 R--44/ 61 —OG ry DATE: 7///i AIR TEST REPORT S 4,d2 / b�'`" CONTRACTOR: n✓ JOB NAME: WA 4 . 577 35-' INSPECTING AGENCY:(--/,I c)/ 77(-.,-/. INSPECTOR: MH#TO MH#/PIPE SIZE/PIPE LENGTH/REQUIRED TIME& PRESSURE/PASS/FAIL CO 5- /o.oa 16: (0 6 " (ilk 3 9 _ [/ yQ /0 V) z/.45 K TEST PERFORMED BY (PRINT NAME): v ' ti BERGEN CONSTRUCTON, INC. INSPECTOR SIGNATURE: w, TOP COPY OFFICE,BOTTO COPY INSPECTOR BERGEN CONSTRUCTION, INC. 7488 ACORN HILL CT SALEM,OREGON 97317 WOO V (flit 6- BERGCONINGCOM �R T!h0 OFFICE/FAX 503-363-1510 PL tip,2°1,2- 8'o DATE: 7 2 ! /y AIR TEST REPORT CONTRACTOR: JOB NAME: L),_1 INSPECTING AGENCY: L f' T 0 rd 14 r J. INSPECTOR: � � MH #TO MH#/PIPE SIZE/PIPE LENGTH_/REQUIRED TIME & PRESSURE/PASSS/FAIL ! /r�:oo z//1) f C SR g " Z33 ` 7 /45. 7 sG 3:Y 41165. TEST PERFORMED BY (PRINT NAME): e(, BERGEN CONSTRUCTON, INC. INSPECTOR SIGNATURE: TOP COPY OFFICE,BOTTOM COPY INSPECTOR