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CHECK LIST
User manual received
I have received instructions in the use of the boiler,
including what fuel material may be fed to the boiler.
I have received instructions in the maintenance of the boiler
Installation carried out by :_______________________________________________
__________________________________________
Signature
Please check below
The installation was carried out in accordance with the Installation and Assembly Guide in the user
manual and is thus covered by the CN MASKINFABRIK A/S Construction Test
Certificate______________
The installation engineer has subjected the boiler unit to a construction test (module B1) or
installed the boiler unit in accordance with a full quality assurance system (module H) in
accordance with the Pressure Equipment Directive 97/23/EEC
. _____________________
Boiler type :
Serial number:
Year :
I hereby declare that I have understood the received material.
Name: ____________________________________
Address: ____________________________________
Town and post code:__________________________________
____________________________________
Signature
Please return to: CN MASKINFABRIK A/S,
Skovløkkevej 4,
Tiset
6510 Gram,
Denmark
This warranty only comes into force when CN MASKINFABRIK A/S has received this page signed
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