Gas Piping TestIHEREBYATIL61 IHA1 JHLruLLuM"V ' -
MENT ON THE 2 PSIG GAS PIPING SYSTEM AT:
STREET
CITY STATED
HAS BEEN MET OR EXCEEDED:
"PRIOR TO THE INSTALLATION OF ANY FUEL LINE
OR APPLIANCE REGULATORS, CAP
P AND AT L
TTESTHE PIPING SYSTEM(S), AND
PRESSURE OF 10 PSIG FOR AT R TEST,EAST INS ALL THE
0 MINUTES.
AFTER COMPLETION ON THE A
NECESSARY REGULATORS AND SOAP TEST ALL
CONNECTIONS FOR LEAKAGE"
�
CONTRACTOR
INSTALLER°
DATE
�I
i iw
stack Hills EnergY
I avingl f with merg
FORM 48-0151 (10/08)
1