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Installation and Inspection
Records
Raychem-IM-H58067-IceStopRoofGutterDeIcingCOM-EN 18/01
Roof and Gutter De-Icing System
Installation Record
INSTAllATION lOCATION
Project name:
Installation date
Reference drawing:
Roof length of installation
ft
❑
m
❑
Company:
Address
City
State/Province:
Postal code
Residential installation environment:
❑
Commercial
❑
Industrial
❑
Hazardous Area
If installed in a hazardous area, fill in the following additional information:
Area: Ignition temperature
°F
❑
°C
❑
Group classification
INSTAllED By
Company:
Address
City
State/Province:
Postal Code
Name
Phone
vISUAl INSPECTION
(check for all heating cables)
The heating cable does not lay unprotected over sharp edges.
Yes
❑
Heating cable attachment points are secure.
Yes
❑