13
Ausgabe
issue
B / 17.03.2006
Dokument
document
OM.COM.05e
Blatt
sheet
1 (1)
6
Commissioning / De-commissioning
Master Copy
6.1
Commissioning report
Send commissioning report online to
www.seepex.com\
From:
Must be specified with every order!
Commission:
Model:
Contact person: .............................................
_________________________
_____________________
Tel.: ................................................................
Fax: ...............................................................
E-mail: ...........................................................
Customer Service:
seepex GmbH
Postfach 10 15 64
D-46215 Bottrop
Germany
Phone:+49 2041.996-231
Fax: +49 2041.996-431
Address of plant:
.......................................................................
Rest of
Europe
Phone:+49 2041.996-224
Fax: +49 2041.996-424
.......................................................................
.......................................................................
Outside
Europe
Phone:+49 2041.996-120
Fax: +49 2041.996-432
.......................................................................
.......................................................................
Delivery date:
Date of installation:
Assembly check carried out on:
Please enter operational data:
Conveying liquid:
Temperature:
Fuse level/motor protection or power
consumption
Frequency control
no
yes
If yes:
Supplied by seepex
Supplied by customer
Frequency:
Speed:
Power
consumption:
________________________________
_______________________________________
Place, date
Signature / company stamp
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