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20 | Protocole de mise en service FR Notice d'instructions Foyers S3
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20 Protocole de mise en service
Exploitant/client Revendeur/technicien
Nom Entreprise
Rue Rue
Code postal, Ville Code postal, Ville
Téléphone Téléphone
E-mail E-mail
Foyer OK Remarques
Modèle
Numéro de série
Technique
Aspect
Accessoires
Conditions sur site
Type de conduit de cheminée
[ ] maçonnerie [ ] acier [ ] chamotte
Diamètre du conduit de fumée:
Diamètre du conduit de cheminée: Tirage de la cheminée: Valeur réelle:
Valeur de consigne: >12Pa
Hauteur: Température extérieure à la mesure du tirage:
Ventilation contrôlée de la pièce [ ] oui [ ] non Conduite d’arrivée d’air externe [ ] oui [ ] non
Instruction de l’exploitant/client
Maniement de l’appareil clairement expliqué Essai de chauffe effectué sur l’appareil avec le
client
Conditions de garantie et garantie constructeur
expliquées
Nettoyage et intervalle de maintenance expliqués
[ ] Gant de protection [ ] Notice d'utilisation remis
Le client final confirme que le foyer lui est remis en parfait état de fonctionnement et sans défaut.
_____________________________ _____________________________ _____________________________
Lieu, date Signature de l’exploitant/client Signature du technicien
96


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