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HomeMy WebLinkAboutCertificate of Boiler or Pressure Vessel Inspection 11.02.2016John Hickenlooper Governor Ellen Golombek Executive Director Mahesh Albuquerque Division Director ��kryli�#3 i/ 3 DEPARTMENT OF LABOR AND EMPLOYMENT Division of Oil and Public Safety - Boiler Inspection [http://colorado.gov/CDLE/Boilerinspection] 633 17th Street, Suite 500 Denver, CO 80202-3610 303-318-8484 Fax: 303-318-8534 JENNA PORTER ATLANTIC AVIATION SERVICES 375 CR 352 UNIT 1070 RIFLE CO 81650 This is your Certificate of Inspection for your Boiler/Pressure Vessel. Must post original or copy near the referenced object. Please verify the contact information, report inaccuracies and ensure we have a correct company email by filling out the Change Form found under the Boiler website: <http: //colorado.gov/ops>; then email back to our email: cdle boilerPstate.co.us Certificate of Boiler or Pressure Vessel Inspection THIS IS TO CERTIFY THAT THE BOILER OR PRESSURE VESSEL HEREIN DESCRIBED MAY BE OPERATED FOR THE PERIOD STATED, AND AT A PRESSURE NOT TO EXCEED THAT SHOWN, AND ONLY AT THE LOCATION SPECIFICIED HEREIN. Jurisdiction Number: 106967 National Board Number: 372428 Mfr. Serial Number: G-16-372428 Vessel Manufacturer: LAARS Responsible Party / Owner Information: JENNA PORTER ATLANTIC AVIATION SERVICES 375 CR 352 UNIT 1070 RIFLE CO 81650 This Certificate is issued by: The Colorado Dept. of Labor and Employment Division of Oil & Public Safety Boiler Inspection Unit 633 17th Street, Suite 500 Denver, CO 80202 (303) 318-8484 Inspection Date: 11/02/2016 Certification Expiration: 11/30/2018 MAWP Observed: 160 Location Information: RIFLE FBO BLDG 2070 375 CR 352 BLDG 2070 RIFLE CO 81650 Specific Location: N. END OF HANGAR Inspected By: TOM MARTINEZ Inspector STATE OF COLORADO Agency Your Boiler Certificate is valid for 30 days past the expiration date. If this boiler has not been inspected by the certficate expiration date, contact the State of Colorado Boiler Inspection program or your Special Insurance Inspector to arrange for inspection. PLEASE NOTE: The owner/responsible party listed on this document is responsible until we are notified differently. This certificate may be revoked for failure to keep the vessel in safe operating condition.