Installation Certification From Specialised Company - GOK HS-V.2 Serie Instrucciones Para El Montaje Y El Funcionamiento

INSTALLATION CERTIFICATION FROM SPECIALISED COMPANY

Membrane-controlled anti-siphon device type HS-V.2
I hereby confirm that the anti-siphon device type HS-V.2 was installed in accordance with the
valid installation and operation instructions. After ASSEMBLY, the device was started up and
FUNCTION CHECKED.
The anti-siphon device type HS-V.2 functioned correctly on the start-up date.
Year of manufacture

Batch number

Type HS-V.2

 Height ∆H
Height ∆X

Operating medium

Place, date
The anti-siphon device type HS-V.2 was subject to a recurring FUNCTION CHECK and
functioned correctly at this time
Place, date
30 / 60
Important for any warranty claims
To be kept by system operator
with adjustable safety height
between HA = 0 ÷ 4m
Set adjustable safety height HA
Height difference between the
maximum filling height of the tank
and the lowest point of the
suction line
Height difference between the
installation position of the HS-V.2
membrane-controlled anti-siphon
device and the lowest point of the
suction line
 Fuel oil L
Recurring FUNCTION CHECK
 ...................
Specialised company (stamp, signature)
Specialised company(stamp, signature)
= m
= m
= m
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