Title Page
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Customer Name:
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Gasmatic Serial Number:
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Date:
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Model:
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1. Gasmatic is clean and tidy (ALL old stickers removed)
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2. Check vacuum disc
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3. Correct schematic attached
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4. Correct HAZCHEM attached
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5. Correct valve labels attached
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6. Correct delivery and service phone number stickers attached
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7. Correct delivery and service stickers attached
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8. Safety valves in test and tagged (with no less than 12 months left)
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9. Check function setting and Surefill regulator
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Setting:
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10. Check function and setting of pressure raise regulator
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Setting:
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11. Ensure there is no corrosion on vessel body
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12. Ensure there is no corrosion on any valves or pipework
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13. Check function and setting of customer supply regulator
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14. Check liquid valve function
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15. Check vent valve function
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16. Check pressure raise isolation valve function
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17. Check fillbox for leaks (if attached)
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18. Remote fillbox box supplied - tested
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19. Equipment installation request attached
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20. No charge docket attached
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21. Ensure ALL SV are 1/4" and piped away
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22. Purge with service gas - check boil off rate over 24 hrs (weigh tank before and after)
PRIMARY SV#1
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Model # (existing SV)
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Test date (existing SV)
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Model # (new SV)
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Test Date (new SV)
SECONDARY SV#1
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Model # (existing SV)
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Test date (existing SV)
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Model # (new SV)
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Test Date (new SV)
BOIL OFF
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Boil off - before weight
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Date and time
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Boil off - after weight
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Date and time
Gas test
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Contents pressure 2000 kPa
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1400 kPa with Nitrogen
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Test for leaks
Sign off
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Refurb completed by:
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Signature
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Date
