Installation / Start- up Form
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Account Details
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Address
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Street Address
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Zip Code
Contact Person
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First Name
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Phone Number
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Area Code
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E-mail
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Machine Details
Voltage
*
208V 1P
220V 1P
208V 3P
208V 3P+N
240V 3P
480V 3P
Machine Type
*
AC 1200
AC 1300
AC 1400
AC 3500
AC 500
AC 680
AC 7000
AC 7500
AC 8000
AD 400
ATS-System
Bedding Dispenser
Bedding Handling
Bottle Filling Station
BP 100 HE/HAE/HSE
DS 1000
DS 1000 FAST
DS 1500 PH
DS 2000 PH
DS 3000 PH
DS 500 CL/CDL
DS 500 DRS/DRSD
DS 50
DS 50 DRS/DRSD
DS 50 HDRS
DS 600
DS 610
DS 610 FAST
DS 750
DS 800
DS 800 FAST
DS 900
ED 100
ED 150
ED 250
ID 300
LAB 500 CL/CLG/DRS/SC/SCL
LAB 600
LAB 610
LAB 610 SL
LAB 640
LAB 660
LAB 680
LAB 900
LAB DRYER
LC 20
LC 70
LC 80
MITO
PT Pass-Through
US 80
US 100
US 1000
VS-Sterilizer
Machine Serial No
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Actual Voltage
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Note for the installation
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Installation Details
Utilities available
*
YES
NO
Drain position as per the GA?
1
2
DI water available
3
4
Hot water available
5
6
Cold water available
7
8
RO water available
9
10
Chilled water
11
12
Chilled water return
13
14
Steam connection
15
16
Condensate return connection
17
18
Compressed Air
19
20
Exhaust
21
22
Network connection
23
24
Seismic anchors
25
26
Utilities specs
*
(Psi)
Temp. (F)
(CFM)
Cold Water
Hot Water
DI Water
RO Water
Steam
Air Compressed
Exhaust (CFM)
Result of Validation
Conform
Non Conform
Cycles specs:
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Cycle's steps, time settings, temperature settings, dosage amount, CYCLE TIME
Start Date
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Minutes
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PM
AM/PM Option
End Date
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Hour
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30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Engineer Report / Open points
Report's Attachments
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upload picture or files
Cancel
of
Software back-up / cycles back-up
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of
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Customer Satisfactions
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