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CERTIFICATION OF FLEXIBLE MEMBRANE LINER 'INSTALLATION <br /> <br />PERMIT NO. <br /> <br />Completed liner installations shall be visually checked for <br />punctures, rips, tears and s~am discontinuities before placement <br />of any material or backfill. The installer is required to <br />manually check all factory and field seams. In lieu of or in <br />addition to a manual check, ~ither one of the following tests can <br />be performed. This form is required to be filled out completely, <br />signed and submitted by the i, nstaller as verification that the <br />liner evaluation and/or testing has been done. <br /> <br />I have visually checked the liner for punctures, rips, tears and <br />seam discontinuities and hav.~ manually checked all factory and <br />field seams. <br /> <br />~/have not (circle one) performed one or more of the <br />following liner tests: <br /> <br />[ ] WET TEST: <br /> <br />The ii.ned basin was flooded with water to <br />a fou,.' (4) foot level and the leakage rate <br />over :~ 24 hour period was no greater than <br />0.25 inches. <br /> <br />AIR LANCE TEST: <br /> <br />Ail s,:~ams (factory and field) were <br />inspe~ted for unbonded areas using an air <br />nozzle device with a minimum 50 PSI air <br />suppl? through a 3/16 inch nozzle held not <br />more ;;hah 2 inches from the seam edge. <br /> <br />I certify that this flexible membrane liner and the installation <br />meets all requirements of 0A~ 340-73~085. <br /> <br />~Liner Manufacturer: ........ ., <br /> <br />Installer Signature Date <br /> <br /> <br />