Exhibit_5-_GSA1034-76 1 .pdf
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- Attached to
- Facility Maintenance Services -- Z
- Solicitation number
- RRB15R0005
- Issued by
-
Railroad Retirement Board
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Exhibit 5
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CERTIFICATE OF INSPECTION OF PRESSURE VESSELS
GENERAL SERVICES ADMINISTRATION
PUBLIC BUILDINGS SERVICE
BUILDING
MAXIMUM PRESSURE PER SQUARE INCH
THIS EQUIPMENT HAS BEEN INSPECTED AND
APPROVED FOR OPERATION AT THE MAXIMUM
PRESSURE NOTED.
REGION
CITY
UNIT NUMBER
TYPE OF SERVICE
DATE CHIEF OPERATING ENGINEER (Signature) INSPECTOR (Signature)
GSA 1034 (REV. 1/1976)
INSPECTED
CERTIFICATE OF INSPECTION OF PRESSURE VESSELS
PUBLIC BUILDINGS SERVICE
BUILDING
MAXIMUM PRESSURE PER SQUARE INCH
THIS EQUIPMENT HAS BEEN INSPECTED AND APPROVED FOR OPERATION AT THE MAXIMUM PRESSURE NOTED.
REGION
CITY
UNIT NUMBER
TYPE OF SERVICE
DATE
CHIEF OPERATING ENGINEER (Signature) INSPECTOR (Signature)
GSA 1034 (REV. 1/1976)
INSPECTED
GENERAL SERVICES ADMINISTRATION
8.2.0.3062.1.452232.445150
| BUILDING: |
| MAXIMUM PRESSURE PER SQUARE INCH: |
| REGION: |
| CITY: |
| UNIT NUMBER: |
| TYPE OF SERVICE: |
| Date. Enter 2 digit month, 2 digit day and 4 digit year.: |
| INSPECTOR (Signature). DIGITAL SIGNATURE: |
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