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27
Hot Water
Pressure
kPa
Cold Water
Pressure
kPa
Temp
˚C
Temp
˚C
Cold Water
Supply via
Pressure Reducing
Valve Fitted
YES
NO
Details of work carried out (mark with
)
Serviced
Commissioned
Visually inspected &
clean valve components
Checked function of
non return valve
Replaced o-rings and
lubricate
Reassemble
Dismantle
Set temperature
Thermal shut down test
List of items replaced and part numbers
during this visit
Service Kit No.
Other Parts
Temperature range of warm water at outlet (please
)
Neonatal and children 38-40°C
Adult 40.5-43.5°C
°C Set
Temperature
Date of this service
/commissioning:
Date of next due service
Date of Previous service
Carried out by
Date Valve Installed
Valve installed by
It is hereby certified that all the commissioning work has been carried out by the undersigned in
accordance with local plumbing requirements for Thermostatic Mixing Valves
Contractor Business Name
Contractor Name (please print)
Contractor Lic/Cert No
Licensed Plumber (Signature)
Date
Contractors Phone No
Owner/Occupier Signature
Date
A duplicate copy of this report is to be retained at the site for any inspection by authorised persons
Содержание AQUABLEND SQX ATM606
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