gas piping compliance ' 07/92
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CUSTOMER INSTALLED GAS PIPING
COMPLIANCE CERTIFICATE
NORTHEAST REGION
CUSTOMER NAME M ,6.--tio
ADDRESS • Lff CC )- 02....,
C ..cam. e..
PHONE
The undersigned hereby certifies that the gas piping installation at the above address
conforms to the followings
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1 . All piping materials, joining methods and installation procedures are in accordance.
with Niagara Mohawk's Gas Constriction Procedures and/or the latest edition of the
National Fuel Gas Code.
2. The piping has passed a pressure test conducted in accordance with Niagara Mohawk's
testing procedures and/or the latest edition of the National Fuel Gas Code. `x
3 . All gas utilization equipment and appurtenances are AGA certified. •
4. The contractor has provided Niagara Mohawk, at the time of inspection, with a sketch
including measurements depicting the location of the underground gas piping.
6°Contractor's Signature: Date: - 7_/3 r/9
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PRESSURE TEST REPORT
Service at:
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Tested at: psig - for: <,? (minuThrs
Date: S — I — /57 .
Company /Name: PP0( D 7W CC
Phone Number: `--/ 6 `?LS1 - 0 `f3
Name (Print). • i ?i [C---° LLD (1- 2, • ,
i!Signature: '__ _