Leak alarm type LWG 2000
Regler- und Armaturen-Gesellschaft mbH & Co. KG
Obernbreiter Straße 2-
18 •
97340 Marktbreit / Germany
Tel.: +49 9332 404-
0 • Fax: +49 9332 404
-43
E-Mail: info@gok-
online.de • www.gok
-online.de
• www.gok
-blog.de
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part no. 15 073 57 c
INSTALLATION CERTIFICATE FROM SPECIALISED COMPANY
•
To be kept by system operator.
•
Important for any warranty claims.
I hereby confirm that the
following safety device was
installed correctly:
Leak alarm, Type LWG 2000
Leak alarm, Type LWG 2005
in accordance with the applicable assembly and operation manual. After INSTALLATION,
the safety device was started up and subjected to a FUNCTION TEST. Upon start-up, the
safety device operated properly. The operator was informed about the operation, care and
maintenance of the leak alarm in accordance with the assembly and operating manual.
The assembly and operating manual along with a copy of the general building-authority
approval was handed to the operator and is in the possession of the operator.
Specialised company is
►
Specialised company according to water law
(Electrical installation) company
Operating medium or stored material
►
Waste oil
Diesel fuel
FAME
Aqueous urea solution
Fuel oil
Bio fuel oil
Heavy fuel oil
Industrial oil
Water or oil-water mixtures
Other water-hazardous, non-flammable
liquids
1) + 2)
1)
More detailed description of the
operating medium
►
2)
Proof of function from the manufacturer's tests: Immerse the probe in the operating medium to be
tested. Leave in a heating cabinet at + 60 °C for 48 hours. Then carry out the specified FUNCTION
TESTS at ambient temperature. A certificate of the test and the result must be issued.
Address of operator
Address of specialised company
Place, date
Specialised company(stamp, signature)
Recurring FUNCTION TEST
The safety device(s) was (were) subjected to a recurring FUNCTION TEST and worked
correctly at that time.
Place, date
Specialised company(stamp, signature)
