Leak Test Questionnaire

COMPANY INFORMATION

Company:

Contact Name:

Address:
Phone #:
Fax #:

E-mail Address:

FACILITIES INFORMATION (Please provide unit of measurement)

Power:
Air supply:
Tracer gas supply:
Cooling water:

PROCESS INFORMATION

Method of leak detection:
Failure leak rate:
Connection method to product:
Gas mixture Ratio:
Are there multiple stations? If so how many:
If there are multiple stations which ones may be charged simultaneously?:
If there are multiple stations which ones may be vented simultaneously?:

PRODUCT INFORMATION Please fill out product information for each station

Product Description:
Station #:
Internal Volume:
Pressure before charging:
Test pressure:
Time for charging:
Time for venting:
Pressure after venting:
Production Rate and Cycle Time:

PRODUCT INFORMATION Please fill out product information for each station

Product Description:
Station #:
Internal Volume:
Pressure before charging:
Test pressure:
Time for charging:
Time for venting:
Pressure after venting:
Production Rate and Cycle Time:

PRODUCT INFORMATION Please fill out product information for each station

Product Description:
Station #:
Internal Volume:
Pressure before charging:
Test pressure:
Time for charging:
Time for venting:
Pressure after venting:
Production Rate and Cycle Time: