Installation Certificate - EcoWater CHC Series Service And Troubleshooting Manual

6.9 INSTALLATION CERTIFICATE

The undersigned hereby certifies that all items described below, leased/rented to the undersigned pursuant to the lease/rental agreement
between the Lessor/Seller and the undersigned (the "Equipment"), have been delivered, and that this Equipment has been accepted by
the undersigned and is now operational.
DESCRIPTION
Unit Serial #:
Equipment
In the City
of
Company Name
INSTALLATION INFORMATION
Subcontractor Information
Plumbing/Installation
Contractor:
Telephone #:
Electrical Contractor (if
applicable):
Telephone #:
Operational Information
Date System
Operational:
Customer Signature
EcoWater CHC Tech/Rep Signature)
Chamber
Serial #:
Located
at
County
of
State
of
Date:
Date:
100