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2005, 02-01 Notice of Hazardous Conditions
t' lt APO - VISTA. ✓" Utilities//l Customer Name je,,,, -�` I.I l ie % Phone Number (99..) 8'68-86 z.9 Address Lcr a/0 70 -7 »1, Sseoa.J - ----, CityS7 I 19-1 Lated 4 I NOTICE OF HAZARDOUS CONDITIONS 8-0308 (08-01) TYPE OF NOTIFICATION: © HAZARD The conditions noted below constitute an immediate hazard and may result in property damage, personal injury, or loss of life. The equipment has been disconnected or left inoperable, and shall not be turned back on until such repairs have been completed by a qualified HVAC dealer, contractor, or service agency, and the equipment has been brought up to current safety standards. Do not attempt to use this eauioment until it has been repaired. Location 1-�`� Equipment Type: - - CONDITIONS FOUND: 1 OApparent cracked of restricted heat exchanger /❑ Damaged appliance connector ❑ Damaged or disconnected vent r.❑ ,Gas leak at gas,equipment._ ❑ A gas leak in your house piping in the amount of CFH with all known appliances off 0 Insufficient combustion/ventilation air U,Dther..--._ EKY" 5 t CLE. 4r-lec.J IIASSRroliC Abe u �� 1�. In, nor - 1J, t ' t AJ i err t4vrr Y=� 0r.3 a ].-i In n I n I ,t_) MSCI -2 , -JY'e. Lti.saat AC o / --"'“iViefirLeft'❑'Off" '&(On - r t Meter'Number- -r--• 4— --- --a Meter Read- - -- - Ihaveread,understooyyddanndnacknowledgereceiipptofthisnotice a.. �O Owner 0 Tenant 0 Agent Customer Signature #s�'�-�4tkA�(I,/��-/-�/ '"fir " - 1 Service Representative\ r (, `. ❑ Refused to Sign [� Date /%2 / �'D Time /'k3-3 White Copy -Customer Yellow Copy- Attach to Service Order Pink Copy- Authority Having Junsdiction Hard Copy -Appliance ani pm VISTA' NOTICE OF HAZARDOUS CONDITIONS Utilitie_,� Customer Name Address TYPE OF NOTIFICATION: Equipment Type. CONDITIONS FOUND: prmI_'7`+X Phone Number. S-0308 (08-01) 59 -g4 8 -g% 19 /C) /07 /f/SS/.3-to / N City 1/4-114/9 / / The conditions noted below constitute an immediate hazard and may result in property damage, personal injury, or loss iHA RD D T life. The equipment has been disconnected or left inoperable, and shall not be turned back on until such repairs have been completed by a qualified HVAC dealer, contractor, or service agency, and the equipment has been brought up to current safety standards. Do not attempt to use this eauioment until it has been repaired. " rid OFApparent cracked or restricted heat exchanger r❑ Damaged appliance connector ❑ Damaged or disconnected vent 0 Gas leak at gas equipment Location ❑ A gas leak in your house piping in the amount of CFH with all known appliances off 0 Insufficient combustion/ventilation air ❑ Other ! n cs1?r5-tS.� r/�tw+.cs fN fJes-T petalr kFt-n.x,4,0 H Ad+�-@rSc�/.'.�'KS .:a'-tcr— !tee" iff CM C._.. I S. e04 -n- t' MeterLeft'❑ Off •-.-0/:On - - - MetenNumber .• /n / 7 I have read, understood // e d� aand,�,�ac�knowlleddggee receipt of this notice. 0 Owner 0 Tenant 0 Agent Customer Signature{{// 0 Refused to Sig Service Representative Mart Date& --/-4-5".. —4-5".. Meter Read n me t r L:1Q White Copy—Customer Yellow Copy — Attach to Service Order Pink Copy— Authority Having Jurisdiction Hard Copy—Appliance 4uvISTA' ° i Utilities y p Customer Name IAN7l %1frP1,P �� Phone um r Numb '�U7/Qio 7t�y 1,0%9 NOTICE OF HAZARDOUS CONDITIONS S-0308(08-01) Address jar TYPE OF NOTIFICATION: Equipment Type CONDITIONS FOUND: //r7/» n k ,:tre 2--•—.� / \ City �iis,e/V.4• //€.-il r © HAZARD The conditions noted below constitute an immediate hazard and may result in property damage, personal injury, or loss /Of life. The equipment has been disconnected or left inoperable, and' shall not be turned back on until such repairs have been completed by a qualified HVAC dealer, contractor, or service agency, and the equipment has been brought up to current safety standards. Do not attempt to use this eauioment until it has been repaired. //� Location A - •, ❑ Apparent cracked or restricted heat exchanger ❑ A gas leak in your house piping in the amount of CFH CIDamaged appliance connector • , with all known appliances off ❑ Damaged or disconnected vent ❑ Insufficient combustion/ventilation air ❑ Gas leak at gas equipment %EldOther /./n/2 too V&a J sin ZAcsd 42•/_ .f'n QC /n1/Cine its J, a: /. r.. .. y - - 54/ /ire/ .7.s•vCP ^` G7/ //r / i . /TCNA ei" —c e'C! "v..+ 6T `l/rn c�L.• /1 // \ i — �. Meter'Left'❑'0ff—- O On- - ----Meter—Number----- — - Meter -Read I have read, understood Ind acknowledge receipt of this nonce. ❑ Owner ❑ Tenant ❑ Agent Customer Signature k 1 1 + ‘ ❑ Refused to Sign l orService Representative //J Date 2-" /—OS - v Time White Copy - Customer Yellow Copy- Attach to Service •Order Pink Copy- Authority Having Jurisdiction Hard Copy- Appliance /9'1 am/pm