HomeMy WebLinkAboutCertificate of Boiler or Pressure Vessel Inspection 11.02.2016John Hickenlooper
Governor
Ellen Golombek
Executive Director
Mahesh Albuquerque
Division Director
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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.