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09i2i/2005 11:54 FAS 3257412500 NITROS IA'C (dJ002 <br />,V ,,� �,��0���%G • Medical Gases • Medlca! Gas Line Ueri(ica[ions . Analgesia Equipment <br />IV. PARTICi7LATE LINE TEST: PASS. <br />V. ODOR: NONE <br />VI. DENTAL EQUIPMENT: <br />A. DENTAL AIR: 1�1JPLBX . <br />1. SYSTEM AIR COMPONENTS: PASS <br />2. `A.IR TECHNZQiJE5`- SN: # 309403, MDL: # ATRS'CAR 30 <br />3. TNTAKE: INSTDE BUT OTHER AREA. OiJTS1DB. <br />4. PiJMP: OILESS "OIT." <O.OS ppm - NONE DE'fBCTED <br />V U. <br />V1IT. <br />1X. <br />X. <br />B. DENTAL VACWM: SIMPLE3C <br />1. SY5TEM VACUUM COMPONENTS: PASS <br />2. `AIR TECHNIQU�S STS` - SN # 1153, MDL: # STS-3 <br />3. VENTED: TO OUTSIDE ROOF. <br />BRAZIER: LARRY HAMMACK - MGO1 HAMMALJ 953BL <br />WITNESS: JAM1E KRADENPOTH <br />COMMENTS: <br />A. NONE <br />CORR.ECTIONS: <br />A. NONE <br />TESTED BY: B. EV.�,A1 Mc ALLTSTER, CRTT, CMGV <br />ERIC N. BURT, V-TECH <br />HARRY I. POIvI�RANZ, V- TECIi <br />FTBMADI8-30.05 <br />��� 2706 164th Street S.W., �ynnwood, WA. 9g037 <br />(425) 741-8807 , 1-800-736-7047 • fax: (425) 741-2500 <br />lV <br />Pg 2 of Z <br />