PL-05-22-1202 10619 NE 11 AveSYSTEM DROP TEST
HOME GAS
CORPORATION
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1060 S.W. 27th Avenue
Miami, FL 33135
Home Gas Corporation has performed a SYSTEM DROP TEST with a water manometer at the
residence or business of
/,57 rr7,Vs c�
-.3 3
22— Iz0 Z
DROP TEST (Start) 579 W C DROP TEST (Finish) ,�, q W C
MANOMETER DROP TEST WAS HELD FOR (Q MINUTES WITH NO LEAKS FOUND AT THIS TIME
SERVICE TECHNICIAN COMMENTS:
Service Technician
r1, ;
5�-
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Date
TAMMY B. VALDES
Notary Public -State of Florida
•: • Commission # GG 038648
My Comm. Expires Oct 25, 2020
Bonded Ihr* ijgh Nalmnal Notary Assn
B, l/e"I
REFERENCE SERVICE ORDER #