Elite Scuba 
Visual Cylinder Inspection Evaluation
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Cylinder Owners Name: *
Manufacturer: *
Serial Number: *
First Hydro: *
MM
/
DD
/
YYYY
Current Hydro: *
MM
/
DD
/
YYYY
Cylinder Finish *
Brushed
Galvanized
Painted
Color
Cylinder Type and Volume:
13-19 CFM
40 CFM
63/72
80 CFM
100 CFM
130 CFM
Steel
Aluminum
Clear selection
Cylinder Working Pressure:
2400 psi
2700 psi
3000 psi
3500 psi
Steel
Aluminum
Clear selection
Cylinder Condition: *
Required
Valve Condition:
Burst Disk Replaced
Tank O Ring Replaced
Din
Yoke
Clear selection
Thread Condition:
Acceptable
Marginal
Failure
Tank Thread Condition
O Ring Gland Surface Cond
Clear selection
Description of Damaged Threads if Any:
Location of Marks/Pits/gouges deeper than 0.015" if Any:
PSI Inspection Note: 
Code No. of 6351T6 alloy from 1988 and older = SP6498 E6498 E7042 E7446 E7477 E8364 CTC SP922 3AL. Any cylinder manufactured before 1989 must have an eddy current examination at the time of hydrostatic re-qualification to check for any trace of cracking due to the sustained load and this since January 2017. In addition it must be stamped with the letters VE following the Re-qualification stamp (CAN / CSA B339-18) Except for CATALINA cylinders (good alloy). We recommend condemning cylinder with these codes: SP6688 and SP6576.
Tank Inspection standard: *
Accept
Reject
Condemn
Inspection Result
Additional Services Carried out: *
Required
E-Signature Note: 
Selecting your name as inspector qualifies as an E-Signature and that you are an in date PSI Inspector in good standing with PSI/PCI (Professional Scuba and Cylinder Inspectors).
Inspector Name and E-Signature: *
PSI number: *
Date: *
MM
/
DD
/
YYYY
Submit
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