Form for Placed in Service/Inspection Report for Liquid Petroleum Gas Meters

Agr 1405.30 Form for Placed in Service/Inspection Report for Liquid Petroleum Gas Meters. (a) In addition to other requirements set by rule, statute, or other law each registered service technician shall complete and submit “Placed in Service/Inspection Report Form LPG” Rev. 07/14 to the department. (b) A registered service technician shall furnish the following on “Placed in Service/Inspection Report Form LPG” Rev. 07/14: (1) Name of business; (2) Full address, including city, state, and zip code; (3) The following information about the liquid petroleum gas meter: a. Make of meter; b. Serial number; c. Size; d. Minimum and maximum rated G.P.M.; e. Make of register; f. Register model number; g. Register serial number; h. Whether there is a temperature compensator; i. Thermometer well; and j. Vapor eliminator; (4) The following information about the test data: a. Type of test; b. Flow rate; c. Meter temperature 35 gallon; d. Meter temperature 70 gallons; e. Tank pressure; f. Prover pressure; g. Prover temperature; h. Prover reading to nearest 0.05 gallon and i. Meter reading; (5) If an uncompensated run, the following: a. Average meter temperature; b. Temperature difference; c. Temperature correction factor; d. Correction for temperature difference; and e. Temperature correction prover reading; and (6) If either an uncompensated or compensated run, the following: a. Correction for prover pressure reading; b. Correction for prover temperature; c. Corrected prover reading; d. Meter reading; and e. Net meter error, in cubic inches if desired. Source. (See Revision Notes #1 and #2 at chapter heading for Agr 1400) #12424, eff 12-1-17