GAYLORD ELXC Series Operation, Maintenance & Installation Manual page 89

Gaylord elxc or elxc-uvi series ventilators

Table of Contents

Appendix B, Page B-6

Ventilator Start-Up Inspection and Test Report

For Gaylord Model ELXC and ELXC-UVi Series Ventilators

Gaylord Representative

1. Fully explained the operation and maintenance of the Gaylord Ventilator. _____ (Rep initial)

2. Provided one copy of the Gaylord Installation, Operation, and Maintenance Manual. ____ (Rep Initial)

3. Provide a copy of the Gaylord Command Center Technical Manual. _____ (Rep initial)

Note to Operator: You may obtain a free copy of the Gaylord Installation, Operation, and Maintenance

Manual and the Gaylord Command Center Technical Manual by visiting www.gaylordusa.com.

Owner/Operator/End User Acknowledgement

Please sign this form to acknowledge that the Gaylord Representative has thoroughly explained operation and

maintenance of the Gaylord Ventilator.

Signature ________________________________________________________________

Print Name _______________________________________________________________

Company Name ___________________________________________________________

Title ______________________________________________________ Date __________

Comments

__________________________________________________________________________________________

Gaylord Industries – 10900 SW Avery St. – Tualatin, OR 97062 USA

Web site:

www.gaylordusa.com

Website: www.gaylordventilation.com - email: info@gaylordventilation.com - Phone: 503-691-2010

Ventilator Start-Up Inspection And Tests - cont.

VENTILATOR START-UP INSPECTION AND TES

– email:

www.gaylordventilation.com.

info@gaylordusa.com

– Phone: 503-691-2010

B-6

Table of Contents

Elxc-uvi series