Facility Name:
City:
State:
Modular Services Company
E-mail to:
Call with your questions:
Attention Customer Service
or
or
Customer Service
109 N.E. 38th Street
1-800-687-0938 x7245
Oklahoma City, OK 73105
Record Unit Serial Number
(On Top Plate)
Verif
y Room/Side correct
per unit
Mounting Structure
installed
per
Components unpacked and verified
per Fi
gs
Main Bearing Assy level,
and nuts
tor
qued
per
Hoses and
cables routed and Service
Column
mounted
pe
r
Ground straps connected
per
Medical gas connections and testin
g
Electrical
connections and testing per state and
Brake stops set at proper locations
per
A
ll covers, end caps, and
shrouds
installed and
Unit power, gases, low
voltage
devices, and
range of motion are
Stratus™ Warranty Checklist
Please verify correct room/side location for each unit and initial all of the items below that apply. Any steps that are not
correctly completed could void your product
warranty. The Stratus Warranty Checklist must be submitted to Modular Services Company within 30 days of installation for you
r factory warranty to be activated.
The com
pleted forms ma
y be mailed to:
Verifications
Verify
Room/Side
correct
per
unit
label
installed
per
Figs 1 & 2
verified
per
Figs
4 & 5
torqued
per
Fig 8
mounted
per
Figs 9 & 10
connected
per
Fig 11
and
testing
per NFPA 99
per
state
and
local codes
locations
per
Fig 13
installed
and
proper fit
motion
are
fully functional
Verified By (Please print):
Signature:
Date:
Title:
Company:
Received By:
Job #
Date:
All Rooms/sides verified?
DCN# 10-1079 — Rev. 3/2011
Date Filed in CNG:
Modular Services Use Only
Содержание STRATUS II
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