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3003 W CASINO RD BLDG 40-34 2025-07-21
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3003 W CASINO RD BLDG 40-34 2025-07-21
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Last modified
7/21/2025 9:53:59 AM
Creation date
4/17/2025 4:12:47 PM
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Address Document
Street Name
W CASINO RD
Street Number
3003
Tenant Name
BLDG 40-34
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FORM U1 Page 3 of 3 <br /> Manufactured by Ace Heaters, LLC, 130 Klug Circle,Corona,California,92878, USA <br /> Manufacturer's Serial No. 75147 CRN NSA National Board No. 75147 <br /> CERTIFICATE OF SHOP COMPLIANCE <br /> We certify that the statements in this report are correct and that all details of design,material,construction,and workmanship of this vessel conform to the <br /> ASME BOILER AND PRESSURE VESSEL CODE,Section VIII,Division 1.U Certificate of Authorization Number 295 Expires May 19,2025 <br /> Date 06/15/2023 Name Ace Heaters,LLC Signed / <br /> (Manufacturer) (Rclprg ve) <br /> CERTIFICATE OF SHOP INSPECTION <br /> I,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and employed by <br /> The Hartford Steam Boiler Inspection and Insurance Company,of Hartford,CT <br /> have inspected the pressure vessel described in this Manufacturer's Data Report on June 13,2023 and state that, <br /> to the best of my knowledge and belief,the Manufacturer has constructed this pressure vessel in accordance with ASME BOILER AND PRESSURE <br /> VESSEL CODE,Section VIII,Division 1. By signing this certificate neither the Inspector nor his/her employer makes any warranty,expressed or implied, <br /> concerning the pressure vessel described in this Manufacturer's Data Report. Furthermore,neither the Inspector nor his/her employer shall be liable in any <br /> manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. <br /> • ter. <br /> Date 06/26/2023 Signed Commissions: 13168,CA2073 <br /> u o i nspecto (National Board Authorized Inspector Commission number) <br /> CERTIFICATE OF FIELD ASSEMBLY COMPLIANCE <br /> We certify that the statements made in this report are correct and that the field assembly construction of all parts of this vessel conforms with the requirements <br /> of ASME BOILER AND PRESSURE VESSEL CODE,Section VIII, Division 1. U Certificate of Authorization Number Expires <br /> Date Name Signed <br /> (Assembler) (Representative) <br /> CERTIFICATE OF FIELD ASSEMBLY INSPECTION <br /> I,the undersigned, holding a valid commission issued by The National Board of Boiler and Pressure Vessel Inspectors and employed by <br /> have compared the statements in this Manufacturer's Data Report with the described pressure vessel and state that parts referred to as data items <br /> , not included in the certificate of shop inspection,have been inspected by me and to the best of my knowledge and <br /> belief,the Manufacturer has constructed and assembled this pressure vessel in accordance with the ASME BOILER AND PRESSURE VESSEL CODE, <br /> Section VIII,Division 1. The described vessel was inspected and subjected to a pressure test of . By signing this certificate neither the <br /> Inspector nor his/her employer makes any warranty,expressed or implied,concerning the pressure vessel described in this Manufacturer's Data Report. <br /> Furthermore,neither the Inspector nor his/her employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising <br /> from or connected with this inspection. <br /> Date Signed Commission <br /> (Authorized Inspector) (National Board Authorized Inspector Commission number) <br /> 4534304 exe:v6.3.130 U1-16 <br />
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