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SERVICE STAMP INDEPENDENT CONTROL UNIT
REPLACEMENT FORM
FIRST NAME AND SURNAME OF SERVICE
PERSON:
DATE OF REPLACEMENT:
INDEPENDENT CONTROL UNIT DATA:
damaged: PANEL MODEL
SERIES NUMBER:
TYPE: G-
COOLING UNIT DATA:
PRODUCER:
TYPE: COMPRESSOR TYPE:
SERIES NUMBER:
PRODUCTION DATE:
DETAILED DESCRIPTION OF DEFECT OF INDEPENDENT CONTROL UNIT:
DESCRIPTION OF COOLING UNIT DEFECT:
DAMAGED: COMPRESSOR VENTILATIR HEATERS LIGHT NO GAS/ EXCESSIVE GAS
ATMOSHERIC DISCHARGE SYSTEM
VOLTAGE
ELECTRICITY CUT OFF
VOLTAGE DROPS
DAMAGED ELECTRIC SYSTEM
NO ‘ZEROING’
SERVICE PERSON SIGNATURE: