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•'-i <br />~~ <br />l~~ ~~~ <br />i` ~' <br />~_ <br />Factory Mutual Insurance Company <br />540 Marysville Centre Dr., Suite 400 <br />St. Louis, MO 63141-5198 USA „~u fm>;lobal.com <br />T:314-453-9660 F:314-453-9559 <br />15-December-09 <br />Mr. Rich Czech <br />Arena Manager <br />Elk River, City of -Ice Arena <br />1000 School Street NW <br />Elk River, MN 55330-1337 <br />Subject: Inspection of Boiler/Pressure Vessels at Elk River, City of -Ice Arena, 1000 School Street NW, <br />Elk River, MN 55330-1337 <br />Date of Inspection: Jo ~ Cady er-09 <br />Inspected By: <br />Index: 001914.82-01 <br />Account: 26-SMPDX <br />During the referenced inspection, evaluations and observations of equipment in your facility were <br />conducted. The results of these activities are outlined below: <br />Jurisdictional Violations <br />The following conditions must be corrected before an operating certificate can be requested from the <br />jurisdictional authorities: <br />Object(s) <br />Jurisdiction Number: MN000042044 Type: Freon Tank Location: CR 2, Oil Separator <br />Jurisdiction Number: MN000042047 Type: Freon Tank Location: CR 2, Oil Receiveor <br />Jurisdiction Num <br />Condition(s): The ASME data plate cannot be located for the vessel. <br />Requirement(s): Per the State of MN RuE s mbol2and a National Boardror ju r sdict onal numbs allThis <br />constructed to and stamped with the ASM y <br />information needs to be ie ffoiea MN SpecJlaltor replace the object Requests for permiss on to rel stamp <br />duplicate data plate, app y <br />or replace nameplates s Waal b ordance wi h the National Board nspec onhC de RB- 030t of Stamps <br />Data Form NB 136 and I <br />decision onpwhethereand how to address any hazardlor conditions The Id'~ability of Factory Mutual Insurance Companyr s I mited to that conta nedtin Itse the <br />insurance policies. No liability or policy coverage is created by reason of this correspondence or the inspection on which it is based. <br />