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, <br /> Medical Gas Services, LLC <br /> 6355 NE 151st Street <br /> Kenmore,WA 98028 <br /> 425-877-9623 <br /> II. Dental Air: <br /> A. Static Line Pressure: 100psig <br /> B. Concentration of Oxygen: 20.8% <br /> III. Dental Vacuum: <br /> A. Static Line Vacuum: 16"HgV <br /> IV. Particulate Line Testing: PASS <br /> V. Odor: None—PASS <br /> VI. Dental Equipment: <br /> A. Dental Air: <br /> 1. System air components are in compliance with NFPA 99(2012ed) <br /> 2. Brand Name: Matrix <br /> 3. Model Number. P21 <br /> 4. Serial Number. V2008645 <br /> 5. Configuration: Duplex <br /> 6. Horse Power: .75 <br /> 7. Air Intake: Outside <br /> 8. Pump: Oil Less <br /> B. Dental Vacuum: <br /> 1. System vacuum components are in compliance with NFPA 99(2012ed) <br /> 2. Brand Name: Matrix <br /> 3. Model Number: 029-3713 <br /> 4. Serial Number V2012009 <br /> 5. Configuration: Simplex <br /> 6. Horse Power. 2 <br /> 7. Exhaust Vented Outside: Wali <br /> C. Amalgam Separator: None <br /> 1. Brand Name: <br /> 2. Model Number: <br /> 3. Serial Number: <br /> VII. Brazier: Ben Fuller <br /> A. Brazier Number FULLERBR916PG <br /> B. Plumbing Contractor: Spectrum Plumbing and Heating, LLC <br /> VIII. Witness: Danny Gedallia—MVM Development&Construction, Inc. <br /> SilverlakeOrtho-9.21,18-VR-Dental Air&Vac1 e <br /> (24 2 d) Pg..2-ef3 <br />