Attachment 9 - Evaluation Data for Rejected Refused Cylinders.pdf

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Attached to
RILEY KS & MINOT ND Regional HW Removal and Disposal
Solicitation number
SP4500-22-R-0013
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SP4500-22-R-0013

Riley Minot Ellsworth Regional HW

Attachment 09 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:

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