APP EDS90 - Page 31

SERVICE 15 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 16 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 13 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 14 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......................................................................................
30
STAINLESS UV
UNVENTED HOT WATER CYLINDERS
SERVICE HISTORY CONT.