PWS_Attachment__2_Activity_Documentation_Form.pdf

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GAS LINES EQUIPMENT MAINTENANCE SERVICES, AVIANO & GHEDI AB, ITALY
Solicitation number
FA5682-16-T-0003
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PWS Attachment 2 / Allegato 2 al Capitolato Tecnico

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Attachment #2

Corrective maintenance Date Building #

Q nom > 1200 kW 300 kW < Q nom ≤ 1200 kW

Inspection Progarmmed maintenance Operation #

Functional check

Aviano AB

31 CES

Location

Operation # _______ Date _____________ Page __ of ___

Gas leak check

DateGas leak repair

Operation # Functional check on interception valve

Repair/Modification on interception valve

ACTIVITY DOCUMENTATION ON NATURAL AND LIQUID

PROPANE GAS LINES, GAS PRESSURE REGULATOR GROUPS

AND GAS LEAK DETECTION PLANTS

Operator's Name and Signature________________________________________________________

1st line - 1º Linea 2nd line - 2º Linea Pressure regulator ____________________ Pressure regulator ___________________

Block valve ____________________ Block valve ___________________

Relief valve ____________________ Relief valve ___________________ roberto.Quattrin Typewritten Text roberto.Quattrin Typewritten Text roberto.Quattrin Typewritten Text roberto.Quattrin Typewritten Text roberto.Quattrin Typewritten Text roberto.Quattrin Typewritten Text roberto.Quattrin Typewritten Text roberto.Quattrin Typewritten Text roberto.Quattrin Typewritten Text

Sheet1

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