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Appendix B, Page B-8
UVi System Standby Test for Open UV Module Access Door
1. Caution: For this test eye protection must be worn. With the fan on open one UV Module Access Door.
Note: If there are two different sizes of doors, open the shortest one. The system should de-activate
immediately and the blue UVi System Standby light should come on. ........................ ____ On ____ Off
If it does not come on refer to the UV System Troubleshooting section of the Gaylord Installation, Operation,
and Maintenance Manual for ELXC and ELXC-UVi Series Ventilators.
2. Close the UV Module Access Door. The green UV System On status light should come back on.
................................................................................................................................................................ ____ On ____ Off
Instructions from the Gaylord Certified Service Agency to the Owner/Operator/End User
After the Inspection and Tests has been successfully completed, demonstrate and review the following with the
Owner/Operator/End User.
1. Explain the Principles of Operation as shown on pages 6 and 7. _____ (CSA Initial)
2. Thoroughly review the Operator Maintenance and Cleaning Instructions as described on page 8. ____ (CSA
Initial)
3. Explain that the Ventilator and UV System must be on a scheduled maintenance program, in accordance
with NFPA-96, and that it can only be performed by a Certified Service Agency. ____ (CSA Initial)
4. Explain the hazards of UV light if the Owner/Operator/End User services the UV System. ____ (CSA Initial)
5. Provide a copy of the Gaylord Installation, Operation, and Maintenance Manual for ELXC and ELXC-UVi Series
Ventilators. ____ (CSA Initial)
6. Provide a copy of the Gaylord Command Center Technical Manual. ____ (CSA Initial)
7. Provide a copy of this UV Start-Up Inspection and Test Report. ____ (CSA 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 Certified Service Agent has thoroughly explained items 1
through 4 above, and provided documents listed in items 5 through 7 above.
Signature ________________________________________________________________
Print Name _______________________________________________________________
Company Name ___________________________________________________________
Title ______________________________________________________ Date __________
Comments
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Web site:
Website: www.gaylordventilation.com - email: info@gaylordventilation.com - Phone: 503-691-2010
Ventilator Start-Up Inspection And Tests - cont.
UV Start-Up Inspection and Test Report
For ELXC-UVi Series Ventilators
Gaylord Industries – 10900 SW Avery St. – Tualatin, OR 97062 USA
www.gaylordusa.com
– email:
www.gaylordventilation.com.
info@gaylordusa.com
– Phone: 503-691-2010
B-8
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