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HM200
9
Guarantee request
We have received the following Kroll-space heater / heating system, which has been installed by the heating contractor listed below.
Type
Our address (user)
Telephone
The following person in our firm is responsible for the operation.
and servicing:
We are interested in taking out a service contract on the
appliance. Please send us further information:
We have been fully instructed in the operation of the appliance or system. We have been given the operating instructions.
Please send us the guarantee certificate
Place
Burner installed
Nozzle type and
number
st
nd
1
level
2
Heat
load
Q
B
kW
Burner adjusted and set into operation an:
Appliance installed:
attached to duct system of length approx.
The space heater / heating system has been installed and set into operation in accordance with the installation an operating
instructions. The customer has been fully instructed in the servicing and operation.
Date of delivery / installation
Checked by after sales service
on:
30
Oil
Manufacturer
Oil burner
Oil flow
Express-
rate
pressure
pump
level
l/h
bar
Burner
Flue
CO
2
inlet
gas
tempe-
tempe-
rature
rature
°C
°C
in boiler room
Serial-No..
Our heating contractor (installer)
Telephone
Mr.
Date
Gas
Type
Type of
Gas
Flow-
gas
nozzle
pressure
filter-
inlet
mbar
Flue gas
Soot level
Heating
losses
Bacharach
efficiency
scale
%
By:
in the space to be
heated free
Signature and stamp of heating contractor
Guarantee request
User's signature and stamp
Combined oil / gas
No.
Gasburner
Flow pressure
Gasconsumption
nozzle
mbar
st
nd
st
1
level
2
level
1
level
Air
Mean air
quantity
outlet
tempe-
ratur
Q
kW
m³/h
°C (Air)
N
m³/h
nd
2
level
Power
consump-
tion fan
motor
A/phase
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