PL-04-22-918 DROP TESTForgiveIII
18111 NW 68 AVE UNIT I-105
Hialeah FI, 33015
305- 298 -0193 Cell
305- 331- 2572 Office
Forevergas@live.com
DROP TEST CERTIFICATION
PERMIT NUMBER: Pi-_, Dq -ZZ-cf
NAME: E_ MI. C% PJ:Qp-�(Iio5
ADDRESS - N W i (C 5T CITY O ICirLJ 4 ZIP 3� 13
THIS LETTER IS TO CERTIFY THAT FOREVER GAS CORP. COMPANY PERFORM FOR
A DROP TEST TO CHECK THE WHOLE GAS LINE.
TYPE OF INSTALLATION:
THIS IS FOR A:
❑ NATURAL GAS:
X NEW ❑ EXISTING
❑ WATER HEATER `YGAS GENERATOR.
❑ STOVE/RANGE
❑ BARBECUE
❑ OTHER
SYSTEM PRESSURE FROM METER:
WATER COLUMN -
TEST DURATION:
DATE OF TEST:
❑ OVEN
❑ POOL HEATER
XPROPANE GAS:
SYSTEM PRESSURE FROM TANK
WATER COLUMN
FLOW l 'L/ �J
�)
PSI LOCKUP L I
DATE OF TEST: L �I 2
IF YOU ANY FURTHER QUESTIONS, PLEASE CALL 305-298-0193
Ainkiz DATE: / Zq / 2 z
ROb-ff-RTQb0f4ZALEZ
CONTRACTOR (QUALIFIER)
V1 /�
STATE M 28379
CC # LPG 28379
Ayxe Fernandez
1-Y-)TA P',1 o" 1BLIC Ayxa Fernandez
STA'? r : LORIDA NOTARY PUBLIC
�; • ' 40030 o STATE OF FLORIDA
L�ci.ires 12023 y Comm# GG340030
^`9le Expires' /30/2023