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10. RAPPORT VAN INGEBRUIKNAME
Datum Apparaatnr.
(zie typeplaatje)
Installatiebedrijf
Adres van degene die de haard plaatst:
Installatie gecontroleerd op dichtheid: ja nee
Veiligheidsvoorzieningen gecontroleerd
(TAS, veiligheidsventiel, MAG) ja nee
Optische controle van haardinstallatie ja nee
Werkingscontrole uitgevoerd: ja nee Test - verbranding uitgevoerd ja nee
Alleen bij SENSO M H2O / PIKO H2O
Verwarmingsinstallatie ontlucht
Bedrijfsdruk gecontroleerd
ja nee
ja nee
Voer de temperatuur tussen het gebruik en de retourverhoging in:
Retourtemperatuur in °C
Voorlooptemperatuur in °C
De gebruiker van de houtkachel is geïnstrueerd
over de bediening en de montage- en bedieningshandleiding is
overhandigd
Handtekeningen
Monteur / Gebruiker
Jaarlijks uitgevoerde onderhoudswerkzaamheden
Type werkzaamheden
Naam
Datum
Handtekening
LET OP: zorgvuldig bewaren!
Bewaar de handleiding met een geldig betalingsbewijs en een duidelijke vermelding van de aankoopdatum en houd deze documenten bij de hand zodat u deze bij
eventuele servicewerkzaamheden aan onze monteurs kunt overhandigen.
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