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Certificate No 01

REPORT OF EXAMINATION OF STEAM BOILER


Make Serial No. Year Built Date of Inspection Location of Boiler Name and Address of Owner Description and type of Boiler Capacity lectrical !ower Date of last "ydraulic #est !ressure Applied $uality and Source of feed water Is Boiler e%posed to weat&er or damp !arts of seams' drums or &eaders co(ered )y *&at e%amination + #est were made : : : : : : : : : : : : : : FULTON ELECTRIC BOILER 103020 / 2006 10th June 2013 L un!"# N $e %& O'ne" A!!"e(( %& O'ne" )%"*+%nt , C#,*n!"*- , E,e-t"*- , )e te" E,e$ent( B%*,e" 3.0 L/(/h" 100 01 10th J nu "# 2010 100 PSI M *n(2 t"e te! n! (%&tene! N% E3te"n , In(u, t*%n -*"-u$&e"ent* ,,# Th"%u4h 5*(u , *nte"n , e3 $*n t*%n ( & " ( --e(( ,,%'(2 u,t" (%n*- th*-6ne(( 4 u4*n42 *n(u, t*%n2 "e !*n4 %& he t*n4 e,e$ent( *n 78%h$( Re(u,t : S t*(& -t%"# 9%%! 9%%! :e( :e( 1.0 PSI Set /# Aut% P"e((u"e C%nt"%, t .0 PSI S t*(& -t%"#; S t*(& -t%"# S t*(& -t%"# 0<th June 2013 ' te" ,e5e, 4 u4e t% /e "e=, -e! '*th ne' %ne2 !e8(- ,*n4 "e>u*"e! &%" the he t*n4 e,e$ent(2 ="%=e" -he$*- , !%(*n4 ' te" t"e t$ent t% /e !%ne;

%ternal condition of Boiler Internal condition of Boiler Are t&ere proper fittin, and attac&ments Are all fittin,s &ad &oles and attac&ments in ,ood condition Ma%imum workin, pressure calculated from scant.lin,s and ot&er rele(ant data ascertained durin, t&e present e%amination. *orkin, !ressure Safety De(ices/ lectrical 0uses + Breaker lectrical "i,& !ressure Steam cut off switc& 1 6. PSI Auto 0eed water le(el control 2alidity 3ecommendations

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F%"2 C%$= n# N $e Name of Inspector Position Date of issue/ 44 5une 6744

Disclaimer: This report is issued subject to the observation made at the time of our inspection. The company will not be held liable for any damages or losses occasioned to the equipments subsequent to the inspection.

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