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HomeMy WebLinkAboutBoiler Inspection CertificatesDEPARTMENT OF LABOR & EMPLOYMENT, BOILER INSPECTION BRANCH 633 17TH STREET, SUITE 500, DENVER CO 80202-3660 (303) 318-8484 FAX (303) 318-8488 http:lloil.cdle.state.co.us/Boiler/Boiler%42ohome.asp Page of State Jurisdiction #: /:::::k-') f 71 Natl. Brd.# ° 5 3;3/ .7. Mfr. Ser.' r/ 0'"7:"1—;:3 Object Status: Active New OT . Type of Inspectio` n: INT. EXT,: Inspector: l- fe-C, , 4 x ..')-* , PH.# i..�r.:' ; ;i 7 �. t'l A - j ` Insp. DateV s' /r/ " J ' Exp. Date: Reinspection Date: Red Tag? (RT -1) / Location: 7 : ;. 1` el -1-u' , 'T ' t(-'_-' ', '; f1r1 �:-y i'``-• Specific Specific location: /' '_' . County: Address: City: Zip: Loc. Phone: Loc. Fax: Loc. ID. # Same as Owner— 0 (If not, see below) Responsible Party: Attn: Address: City: St.: Zip: RP. Phone: RP. Fax: RP ID. # Manufacture >C"" 1 I ( j 'e�._ Inspection Opening YES f14' Year �'/ '`'' 0tv /Used Unknown BTU/Hr Input f,kc c� MAIVP Max. Temp. ---;% .10 Type of Vessel CA CI Copper 12 / 24 FT ,,W't PV Other Use: Air Cooker/Kettle Dom. Water High Temp-Pwr, OW( HWS Pool Elr. Power -Steam HP Steam Heat LP Unknown Firing Method: Byrnes Elec. Manua! N/A Stoker Unk Fuel Type: Cool Electricity Natur01.Gas Oil Other Propane Refinery Gas Saw Dust Unknown Waste Heat Wood Code of Construction ASME I ,.IVs VIII Foreign A—N, link. Mfr. Data Report Available Y ND N/A Safety ReliefValVes: SRI/Tested:,--.'�Valvesset at: (1-2) MiatmumCapacity Required: Based an: Input Input BO% Output Mf(. Unknown Total Capacity Installed:7.:.;...----`-., .../42- '�. . f Press./Temp. Bage:a,,r'" LWCD:,,, Fuel Train: ,..e''' Combustion Air: /'" Safety Shutoff Switch '� Piping/Valves,/' Press./Temp. Controls: / Flue/Vent ,/y After careful inspection, the following corrections are required: YES ■ NO SI — -- Continued next page: Person contacted: Name: Inspector ' -} ,,rrf j Name. " .6 .t " '-r. t ,. .‘.;�/ r - State Comm.#'1/ \`'� - Signature:. Signature: t, NB Comm .# A'' ' DEPARTMENTOF LABOR '& EMPLOYMENT, BOILER INSPECTION BRANCH 633 17TH STREET, SUITE 500, DENVER CO 80202-3660 (303) 318-8484 FAX (303) 318-8488 http:lloil.cdle,state.co.us/BoilerlBoiler%20home.asp Page of State Jurisdiction #:./.-C 'A' % t .....Nati. Brd.# r _ - ':'Mfr. Ser.# (;.?.>0-.(i'-',2%.:263 7,:f..-1:2 ()Object Status: Active Ne( OT Type of Inspection: INT. EXT`74- Inspector: , - iL ) fizc.-12,.:":7_,/,-,,,,,.5,t.'"7 PH.# Insp. Date:/// / .- ,/17 y Exp. Date: Reinspection Date: Red Tag? (RT -1) Location: 1, ,7., rt...-- (.r44�e N,, 4/(.1:-:'e. e f y Specific location: i .... County: /44"/ Address: City: Zip: Loc. Phone: Loc. Fax: Loc. ID. # Same as Owner—. D (If not, see below) Responsible Party: Attn: Address: City: St.: Zip: RP. Phone: RP. Fax: RP ID. # Manufacture t'` ..-,-'--)K.7 c'l ; v (It`r Inspection Opening YES If+rr Year ....2 / / �� 11ewf 'led Unknown $TU/Hr Input C.""1(,ry C.C'.'^'(.�.-ate." /� ? / / ter` ' MAWP /, / 4. .> Max. Temp. ;� / ,:,, 6 Type of Vessel CA CI Copper 12/24 FT _W1 PV Other Use: Air Conker/Kettle Qom. Water High Temp-Pwr. ,hWll' HWS Pool Olr. Power -Steam HP Steam Hoot L Unknown Firing Method: Burner- Tlec. Manual N/A Stoker Link Fuel Type: Coal Electricity Netural-55 Oil Other Propane Refinery Gas Sow Dust Unknown Waste Haat Wood Code of Construction` ASME I .Ilt/VIII Foreign A—N, Unk. Mfr. Data Report Available ;ES HU N/A Safety Relief Valves: SRV Tested: r..:>, Valves set et: a ,:i Minimum Capacity Required: Rased on: Input Input 80% Output ...--Mfr Unknown Total Capacity Installed: � " ?.. . Press./Temp. Gegen,,.,'" LWCDy,- "" Fuel Train: ' Combustion Air: Safety Shutoff Switei.--' "' Piping/Valves: ,.------ Press./Temp. Controls: ,.--• Flue/Vent,---- After careful inspection, the following corrections are required: YES • ND p--: Continued next page: Person contacted: Name: Inspector: . /) !: Name: l'"' -l -/-$..4.,,i7 41r_.7 `�`•�=" State Comm.# i'/''fa Signature: .---- r'�''�" �. NB comm.#' °7 Signature: