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<br />WELDING INSPECTED PER PG&E
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<br />SERVICE.
<br />WELDING INSPECTED PER PG&E
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<br />VISUAL ❑
<br />RADIOGRAPHIC ❑
<br />MAGNETIC PARTICLE ❑
<br />INSPECTOR
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<br />Print Test Supervisor Name
<br />Phone Number
<br />Date
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<br />PRIOR TO INSTALLING ALL GAS SERVICES,
<br />PLEASE REVIEW NEW GSR/GSD FOR
<br />SPECIFIC INSTRUCTIONS REGARDING EACH
<br />SERVICE.
<br />Print Test Supervisor Name
<br />Phone Number
<br />Date
<br />LAN ID
<br />Company Name (if third party)
<br />Make, Range, and Serial No. of Pressure Gauge
<br />Date Last Calibrated
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<br />NOTE TO CONSTRUCTION
<br />PRIOR TO INSTALLING ALL GAS SERVICES,
<br />PLEASE REVIEW NEW GSR/GSD FOR
<br />SPECIFIC INSTRUCTIONS REGARDING EACH
<br />SERVICE.
<br />Print Test Supervisor Name
<br />Phone Number
<br />Date
<br />LAN ID
<br />Company Name (if third party)
<br />Make, Range, and Serial No. of Pressure Gauge
<br />Date Last Calibrated
<br />�
<br />Size
<br />(in.)
<br />WT(in,)/
<br />SDR
<br />Length
<br />(ft.)
<br />Description
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<br />Duration
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<br />End
<br />Time
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