14
Nitrogen
Pressure regulator is set correct and pressure tested (1.5 to 6 psi)
Nitrogen cylinder is mounted with a bracket: ____________________
Pressure regulator is undamaged ____________________
General
Installation status Good Fair Poor
Did the client need additional information? ____________________
Is it necessary to go back? ____________________
The system is functioning completely to a proper operation, and free of leakages:
Yes / No
Signature client:_______________________________________________________
Additional Notes:______________________________________________________
____________________________________________________________________
____________________________________________________________________
Date:_______________________________
Technicians
name:_________________________________________________________
Name (in block letters)
Technicians’
signature:______________________________________________________