St. Johns River Water Management District Flow Meter Accuracy Report Form (En-51)
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1St. Johns River Water Management District
Flow Meter Accuracy Report Form (EN-51)
PERMIT INFORMATION
CONSUMPTIVE USE PERMIT NUMBER: ___________ PERMITTEE NAME: _____________
PROJECT NAME: _____________________________________________________________
WELL/PUMP/STATION INFORMATION
DISTRICT ID: ____________
NAME: _______________
METER MANUFACTURER: _________________ SERIAL NUMBER: ___________________
ACCURACY TESTING
DATE OF TEST: ________________
STATION METER
TESTING METER
Initial meter reading @ start of test:
Initial meter reading @ start of test:
Final meter reading @ end of test:
Final meter reading @ end of test:
Total gallons:
Total gallons:
DURATION OF TEST*:
*Should be at least 5 minutes.
PERCENT ACCURACY
:
[(total gallons station meter/total gallons test meter)*100]
PERCENT ERROR
:
(percent accuracy-100)
TEST METER INFORMATION
METER MANUFACTURER: _________________ SERIAL NUMBER: ___________________
DATE OF LAST CALIBRATION (test meter): __________________
ATTACH DIAGRAM OR PHOTO OF TEST METER INSTALLATION POSITION (optional)
TESTER INFORMATION
NAME OF PERSON PERFORMING TEST: _________________________________________
PHONE NUMBER:______________________
EMAIL ADDRESS: ___________________
I certify that to the best of my knowledge and belief all of the information on this form is correct. I
understand that making any material false statement on this form or in any attachments to it may
result in revocation, in whole or in part, of the permit.
Please mail form to St. Johns River Water Management District, P.O. Box 1429, Palatka, FL 32178-1429
or submit online at .
For assistance, please email or call (386) 329-4570.
Form No. 40C-2.900(5), effective August 14, 2014
Incorporated by reference in rule 40C-2.900(5), F.A.C.
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