Building and city
The building where the equipment is located and its city.
GSA1034
Certificate of Inspection of Pressure Vessels
GSA 1034, Certificate of Inspection of Pressure Vessels, is a General Services Administration form. Its heading names the Public Buildings Service, and its footer reads GSA 1034 (REV. 1/1976). GSA hosts it in its forms library.
The one-page certificate identifies the equipment by building, city, unit number, region and type of service, and records the maximum pressure per square inch. It carries the printed statement: This equipment has been inspected and approved for operation at the maximum pressure noted. An Inspected block below takes the date and the signatures of the chief operating engineer and the inspector. The form prints no instructions, no OMB number and no privacy statement.
You can fill it out free in your browser on this page and download the result without an account.

The building where the equipment is located and its city.
The unit number of the equipment and the region.
The type of service and the maximum pressure per square inch.
The printed line: This equipment has been inspected and approved for operation at the maximum pressure noted.
The date, the chief operating engineer's signature and the inspector's signature.
Enter the building and the city.
Enter the unit number and the region.
Enter the type of service and the maximum pressure per square inch at which the equipment is approved for operation.
Enter the date in the Inspected block.
The chief operating engineer and the inspector each sign their line.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The certificate prints no address and no routing instructions.
The form states: This equipment has been inspected and approved for operation at the maximum pressure noted.
The footer reads GSA 1034 (REV. 1/1976). GSA's page gives a current revision date of 01/1976 and lists no authority or regulation.
Signs the Inspector line in the Inspected block.
Signs the Chief Operating Engineer line beside the inspector's, next to the date.
The heading names the General Services Administration, Public Buildings Service, under the form title.
The form has one set of building, city, unit number and region blocks for the equipment it certifies.
The form prints two signature lines and the blocks that identify the equipment. These are the roles it shows.
The agency’s own page for Form GSA1034.
The official blank form, to print or fill by hand.
No tool matches that search.
The heading names the General Services Administration, Public Buildings Service, and the footer reads GSA 1034 (REV. 1/1976). GSA hosts it in its forms library.
The form states: This equipment has been inspected and approved for operation at the maximum pressure noted.
The Inspected block has a signature line for the chief operating engineer and one for the inspector, with a date.
The maximum pressure per square inch. The printed statement says the equipment is approved for operation at the maximum pressure noted.
The PDF prints none, and it prints no OMB number or privacy statement. GSA's page lists no authority or regulation.