7.0 Attachment 07 - Evaluation Data for Rejected Refused Cylinders.rtf

SP4500-21-R-0009

Hawaii HW Attachment 07 Evaluation Data for Rejected - Refused Cylinders

DISP SVCS

LOCATION:

INSPECTED BY

DATE:

CYLINDER ID NO:

D.O. NUMBER:

CLIN NO:

CONTENTS LABELED:

Or

CONTENTS SUSPECTED:

DIMENSIONS: CONTAINS:

DELIVERY:

COLORS: (Starting at valve)

DIA:

GAS:

GAS:

CIR:

LIQ:

LIQ:

LGN:

UNK:

BTE:_

WT:

UNK

MARKINGS:

OTHER LABELS:

SYMBOL:

CGA OULET

VALVE MAT

VALVE TYPE

PRESS RELIEF

RELIEF TYPE

BROWSE

PACKED

CN VALVE

PLUG

DIM

S-STEEL

PACKLESS

ON CYL

DISK

OTHER

OTHER

NONE

VALVE

REJECTION EXPLANATION:

INSPECTOR’S SIGNATURE/DATE:

COR SIGNATURE/DATE: