UFC 4-390-01
23 July 2003
HOSE NO. ____________________________________________________
LOCATION ____________________________________________________
________________________________________________________________
WORKING PRESSURE
________________________________________________________________
MANUFACTURE
________________________________________________________________
SIZE / TYPE
________________________________________________________________
PART NUMBER
________________________________________________________________
END FITTINGS
________________________________________________________________
________________________________________________________________
RECEIVED DATE
________________________________________________________________
*******
RECORD OF HYDROSTATIC TEST
*******
HYDRO DATE
DATE DUE
_____________________
_________________________
_____________________
_________________________
_____________________
_________________________
_____________________
_________________________
Figure C.8
Unmanned Pressure Test Facility Hose Log
112