27
7. Commissioning Protocol for installer
Separator Type:
__________________________________________________________
Day / Hour
__________________________________________________________
Project description /Building services supervisor __________________________________________________________
Address
__________________________________________________________
Telephone / Fax
__________________________________________________________
Builder
__________________________________________________________
Address
__________________________________________________________
Telephone / Fax
__________________________________________________________
Planner
__________________________________________________________
Address
__________________________________________________________
Telephone / Fax
__________________________________________________________
Contracted plumbing company
__________________________________________________________
Address
__________________________________________________________
Telephone / Fax
__________________________________________________________
KESSEL-Commissions no.:
System operator /owner
__________________________________________________________
Address
__________________________________________________________
Telephone / Fax
__________________________________________________________
User
__________________________________________________________
Address
__________________________________________________________
Telephone / Fax
__________________________________________________________
Person of delivery
__________________________________________________________
Other remarks
__________________________________________________________
The system operator, and those responsible, were present during the commissioning of this system.
____________________________
____________________________
____________________________
Place and date
Signature owner
Signature user
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