Installation Certificate From Specialised Company - GOK LAG 2000 A Instrucciones Par El Montaje Y El Funcionamiento

INSTALLATION CERTIFICATE FROM SPECIALISED COMPANY

I hereby confirm that the following
safety device(s) was/were installed
correctly:
We hereby certify that the LAG 2000 A leak detector was installed in accordance with the applicable
assembly and operating manual. After it was installed and before start-up, the device was subjected to a
function test. On start-up the leak detector functioned properly and as intended. The operator was
informed about the operation, maintenance and repair of the LAG 2000 A in accordance with the
assembly and operating manual.
Specialised company is
Device no. LAG 2000 A
Year of manufacture, LAG 2000 A
External alarm
Tank manfacturer
Year of manufacture/Factory no. of the tank
Tank storage
Storage volume
Volume of the monitoring space
Storage operating medium
Leak detector liquid
Number of leak detector liquid tanks
The leak detector was installed as a replacement on an existing underground tank within the scope

of TRbF 501.
Type (old)
Address of operator
Place, date
28 / 28
To be kept by system operator.
Important for any warranty claims.
Leak detectorTyp LAG 2000 A
Leak detector for systems containing
acc. to EN 13160-1/EN 13160-3 (TRbF 501)
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Regler- und Armaturen-Gesellschaft mbH & Co. KG
Obernbreiter Straße 2-18 • 97340 Marktbreit / Germany
Tel.: +49 9332 404-0 • Fax: +49 9332 404-43
E-Mail: info@gok-online.de • www.gok-online.de • www.gok-blog.de
Leak detector type LAG 2000 A
 Specialised company according to water law
 (Electrical installations-) company
above ground

underground

Device no. (old)
Address of specialised company
Specialised company (stamp, signature)
Norm:
part no. 15 071 53 d
litres
litres
units