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J.LONG- <br /> CINfNNifll Propane Gas Piping System Check Form <br /> Customers Name 1-- 1v1o�j I.Q /C1.-4-7 j -+te•fetf Date Ilia-,/ 20 2ofl <br /> Address 3k1 '76 ik Si' . Sw <br /> City E 1 - .e-fit ,WA , Zip <br /> Appliance Type: DC G �,,i e rQ.`tis✓ <br /> Manufacture: D, ii' <br /> Serial Number Z 1\u+ S-6 O L( 2 Co w <br /> 25 <br /> Manual Shutoff Ye-3 <br /> z////'/%///// /////'f/s�� //, , <br /> Tank/Cylinder / <br /> Cylinder Type DOT ASME <br /> Cylinder Minimum Distance Requirement Met? CP' No <br /> Leak Detection Performed On Cylinder Fitting CP . No <br /> Tank Grounded To Ground Ring No <br /> Manufacture Model Flow/Delivery Pressure <br /> -i'gL. e .7. 7- to rs ,' <br /> ---/-1,-/- ///y//l' ,,//a///-'/i�/lf ///�///%A O //7/o/ y /---,- ,/,,77,-/ ,--,,,(/r//O/te "7-7---- i/ ri" -// // /// /r/p/i, //r/ <br /> Piping System <br /> Start Pressure /0 Tested joints for Leaks41, No <br /> End Pressure lv Notes AGrt_..P <br /> Pressure Held Y s No <br /> Amount Of Time Of 2 6/r s <br /> Test <br /> Technician le-` 7 Z° <br /> 7 <br /> Signatureor'f <br /> , ' Date c%`7 e 9/ /p <br /> / <br /> 1 <br />