FORM 37

Prescribed under Rule 74-A

Register of examination of gasholders
Particulars of manufacture

a) Makers Name : b) Date of

manufacture :
c) Number of lifts : d) Maximum
capacity in cubic meters:
e) Pressure within the : f) Name of the gas
be stored ;
gasholders when :
full of gas :

Particulars of examination carried out

Particulars of repair
Under sub-rule 74A(4) and(5)
Distinguis Method Name Natu Date By
hing of Date of and re of of who Remar
Number or Examina examina designat Repa repair m ks
letter of tion tion ion of ir s and repai
gasholder used the painti rs
compete ng are
nt carri
person ed
out
1 2 3 4 8
5 6 7

Signature or
occupier of manager
Name (in
block letters)