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Medical Gas Services, LLC <br /> Emergency Shutoff/Zone Valve El NONE <br /> Valve: New 0 Existing 0 None-Not Required Brand: <br /> 3 Part Valve: Yes ONo With Down Line Gauges:0 Yes El No Sensor Location: UL [3DL <br /> Labeled: <br /> Dental Equipment [3Not Tested <br /> Dental Air System: New 0 Exisiing [3NONE Dental Vacuum System:El New 0 Existing 0 NONE <br /> Brand:Midmark Brand:Midmark <br /> Model#:P21 Model#:029-3713 <br /> Serial#:V2008645 Serial#:V2012009 <br /> Conf: Simplex kl4 Duplex 0 Triplex 0 Quad Cent: Simplex El Duplex 0 Triplex 0 Quad <br /> Compressor Type:Oil less Pump Type:Rotary vane <br /> Compressor On:80 psi Compressor Off:100 psi Vac Level:16"HgV . Horse Power:2 hp. <br /> Line Pressure:100 psi Particulate:Ej Pass 0 Fail Drain:0 Sealed Et Open 0 Floor Ej Wall <br /> Concentration:20.1% Horse Power:.75 hp. Flexible Connectors: i2 Yes El No <br /> Receiver:Ej Yes El No Drain: A Manual 0 Auto Air/Water Separator:124 Yes ONo <br /> Moisture Indicator:El Yes El No Exhausted to Outside:Ei Yes El No <br /> Dryer:Egi Yes ED No Location of Discharge:Wall <br /> Intake:Ei Outside 0 inside(other) 0 Inside(same) Piping: El Hard Copper Ei Schedule 40 PVC <br /> Amalgam Separator <br /> New 0 Existing El Not Required El None Brand: <br /> Model#: Serial#: <br /> Comments: <br /> P1806-013 Everett <br /> Ben Fuller-Spectrum <br /> SilverLakeOrthodontics-9.21.18-ChkIst-Level 3 Verification(2012ed) Pg...2-orr <br />