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Gas Piping TestI HEREBY ATTEST THAT THE FOLLOWING c TEST REQUIREMENT ON THE 2 PSIG GAS PIPING SYSTEM AT: STREET t s CITY STATE HAS BEEN MET OR EXCEEDED: "PRIOR TO THE INSTALLATION OF ANY FUEL LINE OR APPLIANCE REGULATORS, CAP AND SEAL THE PIPING SYSTEM(S), AND TEST WITH AIR AT A PRESSURE OF 10 PSIG FOR AT LEAST 30 MINUTES. AFTER COMPLETION ON THE AIR TEST, INSTALL THE NECESSARY REGULATORS AND SOAP TEST ALL CONNECTIONS FOR LEAKAGE." CONTRACTOR'= y I INSTALLER DATE I` r n„ L Black Hills Energy Improvingkfewithenergy FORM 48-0151 (10/08) I HEREBY ATTEST THAT THE FOLLOWING' TEST REQUIREMENT ON THE 2 PSIG GAS PIPING SYSTEM AT: b REET CITY STATE HAS BEEN MET OR EXCEEDED: "PRIOR TO THE INSTALLATION OF ANY FUEL LINE OR APPLIANCE REGULATORS, CAP AND SEAL THE PIPING SYSTEM(S), AND TEST WITH AIR AT A PRESSURE OF 10 PSIG FOR AT LEAST 30 MINUTES. AFTER COMPLETION ON THE AIR TEST, INSTALL THE NECESSARY REGULATORS AND SOAP TEST ALL CONNECTIONS FOR LEAKAGE." CONTRACTOR INSTALLER DATEBlack Q pp n„ Hillsery Immprrovinglife with energy FORM 48-0151(8/14)