Gas integrity test & gas turn on affidavit 2009 form-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the building address, city or town, and zip code in the designated section at the top of the form.
3. Fill in the Blue Card number if applicable. This is important for tracking and verification purposes.
4. Indicate whether lockable valves and test ports are installed at the base of each riser by circling 'YES' or 'NO'.
5. Specify the equipment for which gas turn-on is requested in the provided space.
6. Check all appropriate corrective conditions that apply to your repairs, ensuring you provide details where necessary.
7. Confirm that all gas piping is complete and continuous by circling 'YES' or 'NO' as required.
8. Certify that all areas containing gas utilization equipment have been inspected, circling 'YES' or 'NO' accordingly.
9. Complete the contractor information section with your company name, address, and telephone number.
10. Finally, ensure that a plumber's signature, license number, and date are included at the bottom of the form.

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