APP EDS90 - Page 28

SERVICE1 Date..................................................................
Engineers Name............................................................................
Company Name.............................................................................
Telephone Number.......................................................................
Pressure in Potable Expansion Vessel......................................
Safety vaalves functioning YES NO
Actions ........................................................................................
Discharge pipe clear YES NO
Actions..........................................................................................
Temerature of hot water............................................................
Immersion heater connected YES NO N/A
Actions ........................................................................................
Signature......................................................................................
SERVICE 2 Date..................................................................
Engineers Name............................................................................
Company Name.............................................................................
Telephone Number.......................................................................
Pressure in Potable Expansion Vessel......................................
Safety vaalves functioning YES NO
Actions ........................................................................................
Discharge pipe clear YES NO
Actions..........................................................................................
Temerature of hot water............................................................
Immersion heater connected YES NO N/A
Actions ........................................................................................
Signature......................................................................................
SERVICE 3 Date..................................................................
Engineers Name............................................................................
Company Name.............................................................................
Telephone Number.......................................................................
Pressure in Potable Expansion Vessel......................................
Safety vaalves functioning YES NO
Actions ........................................................................................
Discharge pipe clear YES NO
Actions..........................................................................................
Temerature of hot water............................................................
Immersion heater connected YES NO N/A
Actions ........................................................................................
Signature......................................................................................
SERVICE 4 Date..................................................................
Engineers Name............................................................................
Company Name.............................................................................
Telephone Number.......................................................................
Pressure in Potable Expansion Vessel......................................
Safety vaalves functioning YES NO
Actions ........................................................................................
Discharge pipe clear YES NO
Actions..........................................................................................
Temerature of hot water............................................................
Immersion heater connected YES NO N/A
Actions ........................................................................................
Signature......................................................................................
27
STAINLESS UV
UNVENTED HOT WATER CYLINDERS
SERVICE HISTORY