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15
Acceptance of the apparatus
© F. Stephan GmbH
Herewith we confirm the acceptance of the serviced inhalation apparatus
A
. Performance of the apparatus and the observance of the
RTEC
prescribed safety regulations have been verified by us.
Clinic
Place
Date
Responsible for operating the apparatus
(Signature)
Fresh gas Gas mixture
Vaporizer holding device
N
O/AIR-change-over switch
2
O
-flush
2
Relief valve
O
-failure-of-supply alarm
2
2 bar
SA-103-0109V1.3-HAO-GB
15
Acceptance of the apparatus
N
O blocking
2
2 bar
55
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