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3822 COLBY AVE DR KANG DDS 2017-08-18
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3822 COLBY AVE DR KANG DDS 2017-08-18
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Last modified
8/18/2017 2:34:02 PM
Creation date
8/10/2017 9:59:53 AM
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Address Document
Street Name
COLBY AVE
Street Number
3822
Tenant Name
DR KANG DDS
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Medical as Services, LLC <br /> Medical Gas Services,LLC <br /> 6355 NE 151St Street <br /> Kenmore,WA 98028 <br /> 425-877-9623 <br /> III. Dental Equipment: <br /> A. Dental Air: Exixting <br /> 1. System air components in compliance with NFPA 99(2005ed) <br /> 2. Brand: Air Techniques <br /> 3. Model Number: AS50M <br /> 4. Serial Number: 531036 <br /> 5. Configuration: Duplex <br /> 6. Horse Power: 1.5 <br /> 7. Intake: Inside <br /> 8. Pump: Oil less <br /> B. Dental Vacuum: Existing <br /> 1. System air components in compliance with NFPA 99(2005ed) <br /> 2. Brand: Mid mark <br /> 3. Model Number: CV6R <br /> 4. Serial Number: V118657 <br /> 5. Configuration: Duplex <br /> 6. Horse Power: 1.25 <br /> 7. Vented to outside. <br /> C. Amalgam Separator: Existing <br /> 1. Brand: Solmetex <br /> 2. Model Number: HG5 <br /> 3. Serial Number: HG5-K-43948 <br /> X. Cylinder Storage: <br /> A. Location: inside <br /> B. Ventilation: Passive <br /> C. Cooling Sprinkler: Yes <br /> D. Door labeled: No <br /> E. 1 Hour Rated: Yes <br /> F. Cylinders Secured: Yes <br /> XI. Brazier: Phil Friedman <br /> A. Brazier Number: FRIEDPL918KA <br /> B. Plumbing Contractor: North Bend Plumbing <br /> XII. Witness: Aaron Ruyle —AM Ruyle, LLC. <br /> Kang-11.20.14-AG.VR-Dental Gas Line(2005ed) <br />
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