The owner of each boiler that is subject to periodic inspection shall file an annual written statement with the commissioner including:
1. The location of each boiler.
2. Whether the owner, agent, or lessee has had the boiler inspected by a qualified boiler inspector in the employ of a duly authorized insurance company or other qualified inspector in accordance with the requirements of this article, setting forth the name and address of the insurance company or other qualified inspector, the date of inspection, and the policy number covering the boiler.