Installation & Commissioning Report - IBC EBX Series Installation And Operation Manual

Installation & Commissioning Report
Model Number _____________________ Serial Number _______________________________
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Date of Installation ________ Address of installation ___________________________________
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User contact information _________________________________________________________
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Installer Information (Company & Address)___________________________________________
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Phone/Fax/E-mail ______________________________________________________________
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Circuit Breaker # ____ Labeled?
Power supply wire gauge _____
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Leak testing completed
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System Cleaned and Flushed (type of cleaner used) _________________________________
_
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System Filled (type/concentration of any glycol/chemicals used) _______________________
__
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Air purge completed
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Relief Valve correctly installed and piped Relief valve "try lever" test performed
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Owner advised and instructed in the safe operation and maintenance of the boiler and system.
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Information regarding the appliance and installation received and left with owner
Commissioning has been completed as listed on this report - Installer's Signature _____________
Section: Boiler parts diagram - EBX-series Boiler
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