Walinga Ultra-Vac 6614D, Operator'S Manual

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WALINGA
Start-up/Commissioning Form
Effective: September 10, 2020
Version 1
This form must be filled out by the sales representative and/or dealer; and signed by both the sales
representative and/or dealer and the customer at the time of delivery.
Delivery date: MM/DD/YYYY
Owner Operator Name Sales Representative / Dealer Name
Phone Phone
Email Email
Address Address
City Prov/State City Prov/State
Postal Code/ZIP Country Postal Code/ZIP Country
Unit Serial Number
Blower Serial Number Airlock Serial Number
CONFIRMATION OF ACTIONS COMPLETED
All items and features accounted for
Pre-delivery inspection
Review of warranty terms
Review of standard notes and terms
Review operating and safety instructions
Operator manual supplied
Supplemental documents supplied
Guards installed and secured
All safety signs identified and reviewed
Discussion regarding applicable standards (see statement on reverse)