UFC 3-430-07
24 July 2003
including Change 1, Jan 2004 and Change 2, March 2005
Figure E-2 Unfired Pressure Vessel Report
EXP DATE
TYPE OF INSPECTION
A. ( ) INTERNAL ( )
EXTERNAL ( )
DATE OF INSPECTION
B. ( ) PRESSURE TEST
C. ( ) OPERATIONAL TEST
1. FROM:
12. CERTIFICATE ISSUED
13. BOILER INSPECTOR
2. TO:
3. MANUFACTURER:
NAVFAC No.
LICENSE No.
4. PROPERTY No.
5. MFG SERIAL No.
14. REASON FOR NOT ISSUING A
CERTIFICATE
6. BUILDING No.
7. YEAR BUILT
8. NATIONAL BOARD NUMBER
9. PRESSURE
DESIGN
OPER.
TEST
10. CAPACITY (CU. FT.)
11. UPV USE
SAFETY VALVES
15. MANUFACTURER
16. CAPACITY (CFM)
17. NUMBER OF VALVES
18 SIZE
19. SETTING (PSI)
20. VALVE CONDITION
21. INSPECTOR'S COMMENTS
22. ATTACHMENTS
23. SIGNATURE
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