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Gas Form - The Villages
Date
Plumber
Helper
Contractor
Job Name
Time Arrived
Hours
:
Minutes
AM
PM
AM/PM
Time Departed
Hours
:
Minutes
AM
PM
AM/PM
Items Installed
Water Heater
Dryer
Range
Furnace
Fireplace
BBQ Grill
Pool Heater
Generator
Fire Pit
Drop Test
in LBs
Time Started
Hours
:
Minutes
AM
PM
AM/PM
Gas Type
Natural
LP
11"
2 lbs
5 lbs
Total Galvanized Used
1/2"
3/4"
1"
Total CSST Pipe Used
1/2"
3/4"
1"
Regulators Used (Quantity)
1/2"
3/4"
1"
Notes/Comments
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