FIELD TESTING

Evidence · MS-0012

725 Mill Street · Mill Street Processing

Criteria missing

Current test

Device

Air gap · process-water supply · MS-0012

Result

Measurement criteria review

Tester / gauge

Ray Morgan / Watts TK-9A · G-8814

Site

725 Mill Street · Mill Street Processing

Evidence

Remarks

Customer signature

Per selected verified template; no unsupported waiver

Tester signature

Ray Morgan · current saved signature

Optional current-visit photo

Device / site photo

Attach evidence for MS-0012 at 725 Mill Street

Review before completion

The required criteria for this configuration have not been confirmed. Save the measurements for review; do not mark the inspection passing or file it.