(specify technical condition of product, electrical equipment, condition of their protection,
factory numbers, date of manufacturing)
1.
List of deficiencies (defects):
_______________________________________________________________________
1.
The following is required for product recovery:
_______________________________________________________________________
Certificate was made on "___"______201___
Signature:
(Certificate shall be signed by all persons involved in the inspection of product quality and
complete set of supply)
Seals
6