Address of installation
裝置之地址
Description of pressure receiver
壓力容器說明
Date of construction
始日期
Particulars of test:
-
Pressure receiver examined internally
and externally and found to be
placed in a satisfactory condition.
Signature adderazionEE1000 簌哭人
Date Added 日期
Note
Wales an earlier examination de regaired in consequence of aur condues endorsed d
this corudesse or by othat requircarestis of the Ordance, Ibà certificate in valid In
而必須拋甲予以糠麟,否用,根據網爐及壓力容器管制燦睏
Accordance with section 290X8) of the Rollers and Pressure Receivers Ordiotace wat
...........
19.
.....
‧日假止。
(b) by deleting Form 4 and substituting the following-
"FORM4.
[3.6]
(Front of cover)
*Pressura receiver examined under
hydraulic test of
叶
版
Signature
簽署人
Dale 日期
Fittings examined and found satis- 配件聯爲褡
aLay.
Signature 簽署人
Daic 日期
I certify that I have this day examined the above pressure receiver under
►
將上谴之 壓力容躁
pressure and I am satisfied that it is in safe working order and may be 在受壓力下子以機號
鄂
used at a maximum permissible working pressure of
垒可用" 並且可以许可使用之壓力甑 and that the safety valve has been set and sealed or 德朋
otherwise adjusted in accordauter with section 45 of the Ordinance *subject 慊例第四十五款之说定面菜翻苄以核蘸點鋼對戚薇惟溯趱 to (here insert any conditions required under section 33(5) of the Ordinance) (開特憬例第三十三款第(五)段所規定之任何懒忭城於本欄]
Certificate No.
Issued to
滿號干
Date
日期
• Delete if or applicabla.
將不適用者去。
BOILERS AND Pressore Receivers OrdHNANCE.
(Chapter 56).
(香港法例第五十六章,
CERTIFICATE OF COMPETENCY.
合格
(Inalde Front Cover)
Boilers and Pressure Receivers OrdinanCE,
(Chapter 36).
(香港法例或十六章,
*Boiler Inspector.
嗣健耀宾
•Air Receiver inspector,
您軀容器赀蠬
Bdentity Card No, 身份证麴龋
13" x 14"
时时
Photograph
相片
(Page 1)
第一期)