1971-HKRS30-16-30_Part06 — Page 20

Particulars of test:

賦融念眻憫下异

Boiler examined internally and 4.x-

Signature

ternally and found to be or placed in

Date

日期

a satisfactory condition.

Bojler mountings examined and found 翩罐槊粱于城樵

Signature

並認爲

satisfactory.

Date 日期

and that the safety valve has been set and scaled or otherwise adjusted

in accordance with section 45 of the Ordinance *subject to (here insert

any conditions imposed under section 33(5) of the Ordinance) 第三十三款第(五)段所現定之任何螓件堿於常惱)

Signature ...--pisani

Date

日期

*Ausiliary equipment (including the

fuel burning installation) examined and

Date connoterlodbortéry-k

found satisfactory.

*Boiler examined under hydraulic test

ot

*Miscellaneous inspections:

各驗:

-

Signature

簽署人

i psi.

Date 日期

Signature

Dare

日期

- Deere I oot applicable.

將不適用者曲去¤

Boiler Inspector.

Note: Undew an earder exterminatuleno de required in conscquenes at ans conduion endorsed cup

this secubeate or by other requirements of the Ordinace, thic cerdicare & valid to 規定而感貘掍毕节以擦力,否則,橱饕鍋檩頭壓力容 Recordance with section * Al be Boller and Present Bocelven Grdance and

12.

.A.

日期

FORM 2.

第二表格

*In accordance with section 28, the

steam container connected to the boiler 定

bas been examined and the outlet

*

therefrom found to be open and free 排洩口 酒

from obstruction.

阻

Signature....aminti liecome+144

Dare

日期

I certify that I have this day examined the above boiler under pressure

本日:

and 1 am satisfied that it is in safe working order and may be used and 力下予以鞭颞 ■

operated at a maximum permissible working pressure of 兼且可以許可用之最高壓力額

隔

MAKAN 4

BOILERS AND Pressure Receivers ORDINANCE.

(Chapter $6).

(香港法例第五十六章)

CERTIFICATE OF FITNESS FOR A PRESSURE RECEIVER

謎力容器慈明

(OTHER THAN A PRESSURE VESSELL

Registration number of pressure receiver

壓力容器記號

Name of owner

物主之姓名

Address of owner p.....................

-