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FOR YOUR RECORDS
YEOMAN DEALER APPLIANCE WAS PURCHASED FROM
Name: ..................................................................................................................................................................................................
Address:...............................................................................................................................................................................................
.
............................................................................................................................................................................................................
Telephone number:
....................................................................................................................................................
ESSENTIAL INFORMATION - MUST BE COMPLETED
Date installed:......................................................................................................................................................................................
Model Description:..............................................................................................................................................................................
Serial number:
..........................................................................................................................................................
INSTALLATION ENGINEER
Company name:...................................................................................................................................................................................
Address:...............................................................................................................................................................................................
.............................................................................................................................................................................................................
Telephone number:
....................................................................................................................................................................
COMMISSIONING CHECKS (TO BE COMPLETED AND SIGNED)
Is flue system correct for the appliance
YES NO
Flue swept and soundness test complete YES NO
Smoke test completed on installed appliance YES NO
Spillage test completed YES NO
Use of appliance and operation of controls explained YES NO
Instruction books handed to customer YES NO
Signature: ........................................................................................................ Print name:
......................................................
T
o assist us in any Guarantee claim please complete the following information:-
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