Stovax 7061 For Your Records, Stovax dealer appliance was purchased from, Installation Engineer

Models: 7064 7061Bl 7063 7054 7069 7065 7075 7055 7055lG 7075lG 7060 7065Bl 7058Bl 7065lG 7058 7058lG 7055Bl 7075Bl 7074 7061 7061lG 7057

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FOR YOUR RECORDS

FOR YOUR RECORDS

To assist us in any Guarantee claim please complete the following information:-

Stovax dealer appliance was purchased from

Name:..................................................................................................................................................................

Address:...............................................................................................................................................................

............................................................................................................................................................................

Telephone number:..............................................................................................................................................

Essential Information - MUST be completed

Date installed:......................................................................................................................................................

Model Description:...............................................................................................................................................

Serial number:......................................................................................................................................................

Installation Engineer

Company name:.....................................................................................................................................................................

Address:..................................................................................................................................................................................

...............................................................................................................................................................................................

Telephone number:................................................................................................................................................................

Commissioning Checks (to be completed and signed)

Is flue system correct for the appliance

YES

NO

Flue swept and soundness test complete

YES

NO

Smoke test completed on installed appliance

YES

NO

Spillage test completed

YES

NO

Use of appliance and operation of controls explained

YES

NO

Instruction books handed to customer

YES

NO

Signature:

Print name:



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Stovax 7061, 7057 For Your Records, Stovax dealer appliance was purchased from, Essential Information - MUST be completed