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REFERENCE
⓬
TYPE OF EQUIPMENT
The record card must be completed by the user before the product is first used,
then regularly updated and kept.
To be exclusively used as described in the product data sheet.
COMPANY
USER NAME
BATCH / SERIAL N°
DATE OF PRODUCTION
DATE OF 1st USE
DATE OF PURCHASE
The product has to be checked at least once a year by qualified personnel (e.g. manufacturer).
Filled in following equipment record shall be kept with these instructions:
Date of
inspection
1
2
3
4
5
6
7
8
9
10
B.P. 140 - ZAC de La Peyrolière
84405 APT CEDEX - FRANCE
RECORD CARD
...........................................................................
⓮
Checking of the product
Report / Comments
AC001 AC002
/
/
/
/
/
/
Date of next
inspection
DATE : 29.08.2016
⓭
EN354
SWIVEL CONNECTOR
⓫
Stamp & Signature
52/52
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