To: 20,000 Leagues Scuba and Aquatics and Visual Cylinder Inspectors:
I certify that I am the owner (or authorized representative) of high pressure cylinder(s), and have requested your visual inspection and/or hydrostatic inpsection test service. I understand that these vital safety examinations are needed at prescribed intervals to ensure the cylinder is safe for filling and continued service. I have been informed that various damaging factors, such as those described in the book Inspecting Cylinders (5th Edition), by William L. (Bill) High and Mark A. Gresham, may cause my cylinder to fail either Visual Inspection or Hydrostatic assessment, as applicable.
I agree and authorize 20,000 Leagues Scuba and Aquatics, as a condition of having either service performed on my cylinder(s), to conspicuously disabled cylinders accepted for inspection if it does not meet standards published by PSI/PCI (Professional Scuba Inspectors/Professional Cylinder Inspectors). I will receive a written report which identifies the reason for failure. I understand that in this case, I will have the disabled cylinder and all components returned to me.
Cylinder serial numbers and services desired are specified at the end of this document. I certifiy that I will complete payment for these services whether or not inspections are completed with either a PASS or FAIL determination.
Due to insurance and safety matters for our staff and valued customers, if I do not agree with this policy, I understand that 20,000 Leagues Scuba and Aquatics is unable to accept the cylinders for servicing.