Functietest uitgevoerd ja neeStookproef uitgevoerd: ja nee
Alleen bij de SENSO M H
2
O / PIKO H
2
O
Verwarmingsinstallatie ontlucht
Bedrijfsdruk gecontroleerd
ja nee
ja nee
De temperaturen tussen inzet en laadunit vermelden:
Teruglooptemperatuur in °C
Voorlooptemperatuur in °C
De gebruiker van de haard geïnstrueerd over het gebruik en de
montage- en gebruikshandleiding overhandigd
Handtekeningen
Monteur / Gebruiker
Jaarlijks uitgevoerde onderhoudswerkzaamheden
Soort werkzaamheden
Naam
Datum
Handtekening
OPGELET: zorgvuldig bewaren!
•
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