Ausgabe
issue
B / 17.03.2006
Dokument
document
20&20XV
Blatt
sheet
1 (1)
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Send commissioning report online to
www.seepex.com\
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Contact person: .............................................
_________________________
_____________________
Tel.: ................................................................
Fax: ...............................................................
E-mail: ...........................................................
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Delivery date:
Date of installation:
Assembly check carried out on:
Please enter operational data:
Conveying liquid:
Temperature:
Fuse level/motor protection or power
consumption
Frequency control
no
yes
If yes:
Supplied by
6((3(;
Supplied by customer
Frequency:
Speed:
Power
consumption:
________________________________
_______________________________________
Place, date
Signature / company stamp
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SEEPEX I
QF
511 Speedway Drive
Enon, Ohio 45323
service@seepex.
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