Installation Checkout Form - Wells WATER-MAX Owner's Manual

Authorized Service Co. ____________________________________Agency Invoice # ________________ Date ________
Address_____________________________________________ ____Contact Name _______________ ________________
City ____________________________________ State ____ ZIP _____________ Phone (___) ______________Ext. _____
Business Name___________________________________________Installation Requested By ______________________
Address__________________________________________________Accepted By ___________________Store# _______
City ____________________________________State ____ ZIP _____________ Phone (_____) ________________
MODEL NO. _________________
INSTALLATION INSPECTION
A Accessories and components identified
and accounted for
B Compliance with Electrical Codes verified
C Compliance with Building Codes verified
E Verify that all protective film and packing
materials have been removed
D Water tank assembled and installed
STARTUP INSPECTION (
WATER SUPPLY
A Verify min. 1/4" supply line
B Verify min. 25 psi
C Optional Equipment (Strainer, Regulator, Water
Hammer Arrestor) properly installed in supply line
D Shut off valve installed in supply line
E Test and record total hardness of water supply:
ELECTRICAL SUPPLY
A Verify input voltage matches nameplate voltage
B Verify dedicated 50A circuit
C Field wiring completed
D Unit ground stud connected to a suitable ground
E Verify Wire #11 position matches input voltage
F All connections at terminal block tight
G All connections at control circuit board tight
OPERATOR TRAINING AND OPERATIONAL INSPECTION
A Safety features and controls identification and operation
B Component and accessory identification
C Discuss safety procedures
D Demonstrate operation
E Demonstrate cleaning the dispenser and tanks
F Discuss preventative maintenance procedures
WATER-MAX™ INSTALLATION PERFORMED BY
Name ____________________________________________________________________ Date__________________
Time In ___________ Time Out ____________
Thank you for your help. This information is used to
evaluate our continuing efforts in maintaining the highest
quality product for you, our valued customer.
To be completed by an
Authorized WELLS MFG.
Service representative
SERIAL NO. _______________
( Check box after item is completed. Note any discrepancies.)
Check box after item is completed. Note any discrepancies.)
:
INSTALLATION (continued)
VOLTAGE _______ Ø __
E All fasteners checked for tightness
F Unit installed on hard surface and leveled,
Counter at least 17-1/2" deep, or
Wall mount unit securely installed and leveled
and
Unit securely attached to wall mount
INSTALLATION
A Verify all switches / electronic controls work
B Verify power and status indicator light operation
C Check for leaks
D Check tank position safety switch for operation
E Check / adjust dispensed water temperature
F Check time to fill tank
DATA
A Record all pertinent data on
form in the Operation Manual
B Record voltages and amperages at circuit breaker:
Power switch off _____V _____A
Water tank filling _____V _____A (min 35A/max. 39A)
C Record water data: _______ psi
Total hardness _______ grain tH
Temperature
Time to fill tank _______ min.
( Check box after item is completed. Note discrepancies.)
G Discuss / demonstrate food preparation
H Explain warranty. Return copies to office and factory
I Discuss use and availability of supplies available from
the distributor
RESTAURANT OWNER, MANAGER or SUPERVISOR
Print Name
Signature
9
TYPE OR PRINT CLEARLY
Please use a ballpoint pen
and press hard.
Check boxes and fill in
spaces where applicable.
___
CUSTOMER SERVICE DATA
_______ºF