Contrôleur Tornatech S / N: _________________________________________
Adresse d'installation: _________________________________________
_________________________________________
_________________________________________
Liste de contrôle terminée? _____________Oui Non
Liste de contrôle remplie par: __________________________________________
Compagnie: __________________________________________
Date: __________________________________________
Témoigné par: __________________________________________
Commentaires: ___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
49