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I HEREBY ATTESTTHAT THE FOLLOWING TEST REQUIRE-
MENTON THE 2 PSIG GAS PIPING SYSTEM AT:
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STREET
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CITY STATE
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HAS BEEN MET OR EXCEEDED: }
"PRIOR TO THE INSTALLATION OF ANY FUEL AE
OR APPLIANCE REGULATORS, CAP AND SEAL
THE PIPING SYSTEM(S), AND TEST WITH AIR AT A
PRESSURE OF 10 PSIG FOR AT LEAST SO MINUTES,
AFTER COMPLETION ON THE AIR TEST, INSTALL THE 4
NECESSARY REGULATORS .. AND SOAP TEST ALL
CONNECTIONS FOR LEAKAGE" w
CONTRACTOR
INSTALLER W
IJATE
IN-
MfwkMills&ergy
r " g rwme W
FORM 48- 6151(14/09)
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