UFC 3-430-07
24 July 2003
including Change 1, Jan 2004 and Change 2, March 2005
Instructions for Completing Inspection Certificate for
Boiler - Unfired Pressure Vessel Form, NAVFAC (9-11014/32 (3/67)
1.
Inspection Certificate for: Place "X" in appropriate box.
2.
Activity: Name of activity, city, and state.
3.
Location: Building number and when applicable room number/ name or location
outside building (example: east, west, north, south).
4.
Serial No.: Manufacturer's number from nameplate.
5.
National Board No.: When available.
6.
Make: Manufacturer's name.
7.
Pressure Allowed: Taken from nameplate unless reduced as a result of
inspection.
8.
This Certificate Expires: Month and year of expiration depending on inspection
9.
Type of Inspection: Place "X" in appropriate box or boxes.
10.
Name: Inspector will sign here.
11.
Date: Date of signature.
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