It is required that both sides of this form be filled out completely, signed where indicated and returned to Baldor Generators within 30 days of initial
It is your responsibility to insure that copies are
distributed to:
For Standby, Automatic Emergency |
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And Prime Power Generators |
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DISTRIBUTOR INFORMATION |
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| END USER / OWNER INFORMATION | |||||||||||||||
Name: |
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| Name: |
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Address: |
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| Address: |
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Phone: |
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| Phone: |
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Model Number: |
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| Job Number: |
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RPM |
| HZ |
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| Standby | or | Continuous |
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KW |
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| Volts |
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| KVA |
| Amps |
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Engine |
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| Generator |
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Model#: |
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| Model#: |
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Engine |
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| Generator |
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Serial# : |
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| Serial #: |
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List Distributor Installed Items: |
| List Items Installed by Others: |
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Engine | Power |
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| VOLTAGE |
| CURRENT |
| Oil |
| Oil | Water | Amb. | ||||||
Hour Meter | Output |
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| Temp. |
| Pressure | Temp. | Temp. |
| KW |
| 1 | 2 |
| 3 | HZ |
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| NO LOAD |
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| Date: |
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Performed By: |
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Address: |
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| Technician: |
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Phone: |
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| Customer |
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| Signature: |
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