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I HEREBY ATTESTTHATTHE FOLLOWING TEST REQUIRE-
MENT ON THE 2 PSIG GAS PIPING SYSTEM AT:
STREET
CITY STATE
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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
DATE ' _ `
Black 1110115 74 or
qy
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FORM 48 -0151 (IO /0£3)