ATT_7-_RejectedCylinders.pdf

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Attached to
Hazardous Waste Removal and Disposal at Vandenberg
Solicitation number
SP4500-19-R-0008
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Rejected Cylinders

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Evaluation Data for Rejected - Refused Cylinders

DRMO:_________________________ 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 OUTLET VALVE MAT VALVE TYPE PRESS RELIEF RELIEF TYPE

____________ BROWSE___ PACKED____ CN VALVE___ PLUG______

DIM________ S-STEEL____ PACKLESS___ ON CYL______ DISK_______

____________ OTHER_____ OTHER______ NONE________ VALVE_____

VALVE MARKINGS:___________________________________________________________________

REJECTION EXPLANATION:____________________________________________________________

INSPECTOR’S SIGNATURE/DATE:_______________________________________________________

COR SIGNATURE/DATE:________________________________________________________________

drmo:
date:
contentslabled:
dia:
unk:
wt:
bte:
unk2:
colors1:
colors2:
colors3:
colors4:
cgaoutlet:
dim:
packed:
packless:
cnvalve:
plug:
blank:
signature:
location:
inspectedby:
clyidnbr:
donumber:
clinnbr:
gas:
gas2:
valve:
disk:
contentssusp:
cir:
symbol:
lgn:
liq:
liquid:
markings:
browse:
other:
corsig:
valvemark:
oncly:
none:
ssteel:
markings2:
otherlbls:
rejecp2:
rejexp1:
rejexp:

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