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CARNA
VESTA
DE
Angaben zum Gerätebesitzer
Angaben Fachbetrieb
Gerät / Montage / Inbetriebnahme / Übergabe
Inbetriebnahmezertikat
Name:
Anschrift:
Telefon:
Unterschrift des Gerätebesitzers nach Inbetriebnahme: Datum:
Ort:
Datum:Ort:
Unterschrift des Fachbetrieb nach Inbetriebnahme:
Telefon (mobil):
Name:
Anschrift:
Telefon:
Telefon (mobil):
Bemerkungen:
Mitarbeiterkennzeichen (für Inbetriebnahme verantwortlich):
Gerätetyp: Geräte- Identikationsnummer (ID):
Schornsteinberechnung vorhanden? (ausgedruckte Berechnung dem Zertikat beilegen)
ja nein
Teile-Nr.:
Fabrikationsnummer:
Kaufdatum:
Inbetriebnahme durchgeführt am: Unterweisung durchgeführt am:
Duplikat zum Verbleib in dieser Anleitung
45


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