Rheem 571D270 - Installation Report

57
INSTALLATION REPORT
Dear Installer / Customer
A copy of this installation report filled out in full and signed can be attached to an STC Assignment Form (where
applicable) as a method to demonstrate proof of installation. It can be copied and kept for your records.
Installer, please complete all details below
Owner’s Name
Installation Address
Suburb
Telephone Home
State
Work
Postcode
Mobile
Email Address
Installing Company /
RSS / Agent
No. of Stories of Install
Single
Other
1.
Installer’s Name
Installation Date
Type of Installation
(please circle)
Replace
Complete
Solar System
Replace
Solar
Tank
Replace
Electric
or Gas
Replace
Heat
Pump
New
Building
New Install on
Existing Building
(not replacing a unit)
Other
System Model No
System Type
Tank Model No
Tank Serial No
Electric Booster
(please circle)
Electric continuous
Off Peak 1
(night)
Off Peak 2
(night & day)
Other
If replacing a water heater, please give details
Brand
Model No
Electric
Gas
If a Rheem unit
Tank Serial No
Date of manufacture
Collector Serial No’s
1)
2)
3)
4)
Comments
Signature:
Installer:
Customer:
Date
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