Model:
SAMMIE or BERTIE
Description and specification of equipment covered
Serial No.:
Signed
R. Loxley (director)
Vessel
for
Group 1
gasses
and asso-
ciated pipe
work and
Model:
Type ‘B’ gas tank
Serial No.:
Test date:
Stea
m
Gen
era
tor
an
d
as
soci
at
ed
pipe
work
and
Serial No.:
Test date:
EC
Model:
Type 4 boiler
ROU
Dated ………………..
17