PLC-01-21-39 DROP TESTOffice: 786-370-4298 - Fax: 305-828-5560
P.O. Box 133219 Hialeah, FL 33013
rrelitegas@aol.com
ELITE GAS CONTRACTOR INC.
DROP TEST INFORMATION
Customer Name: VO4Yy14si` 12AeFS''8}/T�4tl Cf/U,eG� Date:
Service Address: 60Z �E 91�_ -IV
City: SfbR-P_S State: e`',
Manometer Pressure Test: Start WC —711
Lock Up Lock Up First Stage
Load Leak Detector //U
Zip: 33/ 3g
Licensed & Insured
LIC# LPGO01122
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Permit # 'P26-01- 21"13�
Finish WC -211 Min 167h1;,,
Lock Up 2nd Stage
Soap Test �S
Gas Left On/,ES Satisfies Code Odor Strenght /t-lGd6l'14L .
Meter #
Appliances:
Reading
Leak Location Xf/D
Tank #
Comments: 6:ts Ll"4
Reading
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 Signatu
Master Qualifier Signature:
Master Qualifier Print Nami
LEIDYALMAGUERTREJO
+: MY COMMISSION # HH 056560
4= EXPIRES: October 25,2024
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Customer Signature: