RC-15-2844 DropA.
Office: 786-370-4298 - Fax: 305-828-5550
P.O. Box 133219 Hialeah, FL 33013
r' rrelitegas@aol.com
ELITE GAS CONTRACTOR INC.
DROP TEST INFORMATION
Customer Name: xlAe,<
Service Address: / yp0 Svc- /V/ sr -
RC-157E`1�
Licensed & Insured
LIC# LPG001122
Date: /o —/2 — Zo zo
City: lel/'gw s' / I State: FL Zip: 3 313d� Permit # fG-02 — !9— y�//
Manometer Pressure Test: Start WC
Lock Up 7 �iav c- Lock Up First Stage
Finish WC 7r� Min /_57
Load Leak Detector "t/ 0 Leak Location
Gas Left On yes Satisfies Code
Meter #
Reading
Yes
Tank #
Lock Up 2nd Stage
7 .1i uJG
-aV Soap Test Y�-S
Odor Strenght Z_
Reading
Appliances: 0 3 •�ieG S �r� Ei`�9i s. �� �v .S��
Comments:
This drop test cover LP / Natural Gas items and equipment visible and accessible to the service
technician and represents the condition existing on the date if inspection. It does not cover latent of
manufacturing defects, the internal working of sealed equipment, or structural components,
and cannot be construed to cover future unforseen happenings.
Service Technician Signature:
Master Qualifier Signature: ��Q d
Master Qualifier Print Name:
FRANK E. GAISER
MY COMMISSION # GG 210960
EXPIRES: July 23, 2022
r �• Bonded Thru Notary Public Underwriters
Customer Signature:
,�il.�titG Fv - o�v