MUNICIPAL TEST PARAMETERS FORM
(MTP FORM)
This form should be completed and submitted when a school is tested to
Municipal Code requirements rather than to Railroad Commission test
requirements.
Acct. or Meter #: ______________________________________________
Facility/Campus Name: ________________________________________
Facility Address: ______________________________________________
Municipality where Facility/Campus is Located: ___________________
Code used by the Municipality,
i.e., IFGC 2012, IPC 2012, etc. ___________________________________
CERTIFICATION:
As the Verifying Official (tester) on Form PS-86B for the Facility or
Campus named above, I certify that this Facility/Campus has been
tested to the current code requirements for the above stated
Municipality.
Verifying Official (tester): ___________________________________
(signature)
Date: ________________________________