Get Gas Integrity Test & Gas Turn-on Affidavit 2009

This guide provides a step-by-step approach to completing the Gas Integrity Test & Gas Turn-On Affidavit online. It is designed to facilitate users in accurately filling out the necessary fields and ensuring compliance with local regulations.

Follow the steps to complete the affidavit efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the building address, city or town, and zip code in the designated space. This information identifies the location for which the gas integrity test is being certified.
3. Provide the Blue Card number if applicable. This number may be required by local authorities for tracking and record-keeping purposes.
4. Indicate whether lockable valves and test ports are installed or exist at the base of each riser by circling YES or NO.
5. Specify the equipment for which gas turn-on is requested in the provided fields. Clearly identify the equipment to ensure accurate service.
6. The contractor should check the appropriate corrective condition by selecting the relevant options that indicate repairs made. Fill in details where required to provide clarity regarding the repairs conducted.
7. Certify that all gas piping is complete and continuous up to the appliances by circling YES or NO as it pertains to the areas involved in the inspection.
8. Confirm that all areas containing gas utilization equipment have been inspected by circling YES or NO, with a focus on ensuring equipment fuel line valves are closed.
9. Validate that all open-ended valves, stubs, test connections, purge connections, or fittings that could be left open are securely closed by circling YES or NO.
10. Accept responsibility for any end-of-use gas equipment or appliances not gassed-in by Con Edison by circling YES or NO.
11. Complete the contractor information section by providing the plumbing contractor company name, address, and telephone number.
12. Finally, have the plumber sign the document, include their license number, and the date of completion to finalize the affidavit.
13. Once all sections are completed, users can save changes, download, print, or share the form according to their needs.

Complete your Gas Integrity Test & Gas Turn-On Affidavit online today!