Hose Specialty & Supply Co., Inc. 4217 South Lewis St. New Iberia, LA 70560 Date: _ 4/19/19. Dray # 109293793 Sold to: JAD. - Customer PO Motor Vessel: The following hose meets the requirements of U.S. Coast Guard Regulation. (Federal Register, Title 33, Subpart C, Section 154.500 January 1980, Title 33-Navigation and Navigable Waters.) 1" X75" PRE (0 W/M X M SCOVILLE FTS AND A & D BR CAML Mfg. Date: 4/19/19 Serial # 6176 1. Oil Service PSI maximum allowable working ___ pressure 3 Fabricated with Couplings 4/19/19 4. Tested: 4/19/19 _ 5 Hose Tested To: PSI 6. Minimum design burst PSI 7. 8. Hose marked with #_marking on each end. The words Oil Service, USCG Conform MAWP, and Date of latest test are marked on above paper and on hose. Date of mfg. and pressure used for test marked on above paper. No warranty or guarantee of future performance of this assembly is expressed, written or implied. = Hse Specialty & Supply Co,, Inc. « 4217 South Lewis Street « New Iberia, LA 70560 « 1-800-600-9906