Ravelli MIA 90 Manuel De L'utilisateur page 108

DECLARATION OF CONFORMITY OF THE STATE-OF-THE-ART SYSTEM
In accordance with. art. 7 of MD 37 dated January 22, 2008
The undersigned ___________________________________
name)___________
operating in the crafts sector based in _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Municipality _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ prov. (___) ph. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ VAT _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ □ entered in the register of companies (DPR 7/12/95 n.581 della CCIAA di TV n. xxx
□ registered at the Register of Provincial Handicraft Manufacturers (L. 8.8.1985, n.443) di TV n. xx
installation executed by (schematical description, project layout):
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
intended as: □ new system
□non-routine maintenance
Commissioned by__________________________________ installed at the premises in the Municipality of ____________________________
Prov.
street_____________________________________ floor ____internal, owned by
dress)______
in the building designated as:
under its sole responsibility that the machine was built in compliance with state-of-the-art standards
in accordance with the provisions of Article 6, taking into account the operating conditions and the designated uses of the building, having in particular:
□ observed the project drafted as per Art.5 by
□ followed the technical standard specific to its use as
□ installed parts and materials suitable for the place of installation (Art.5 and 6)
□ inspected the system for safety purposes and the functionality with positive outcome, having carried out the checks
required by the standards and the provisions of the law.
Mandatory annexes:
□ project as per Articles 5 or 7
□ report with the types of materials used
□ layout of the system made
(6)
□ reference to previous or partial declarations of conformity, already existing
executed by the company ............................................................................. date ...........
□ copy of the certificate of acknowledgement of technical and professional requirements
□ certificate of conformity for the system executed with non-standard materials or systems
Optional annexes: Photographic Documentation. Use and maintenance manual of the fireplace, the Fume dataplate and booklet of the generator,
declaration of insulation compliance, combustion analysis, draught test, local ventilation and CO verification and chimney seal test
all liability for injuries or damages to property arising from tampering with the system, by third party or due to lack of maintenance or repair
Date ___________________
WARNING FOR THE BUYER: liability of the buyer or the owner,art.8
The undersigned _________________________________________ buyer of the works/owner of the building declares to have received _____
copies of this document and the specified annexes.
Date _______________________
User manual MIA 90
□ industrial
.........................................................................................................................
(2)
UNI10683/2012 UNI10845 UNI/TS11278 UNI/EN1443 UNI7129/08
(3)
(4)
(5)
The technical manager __________________________ The undersigned ____________________________
n. 20
owner or legal representative of the company ___________
_________________________________________________
□ makeover
□ other ................................................................
(1)
________(name, surname or company's name and ad-
□ civil
DECLARES
:
(7)
DENIES
(10)
□ trade □ other uses
.
(8)
Signature __________________
Vers. 1 du 20/10/16
EN
Page108
(company's
□ upgrade
.
(9)