Separator Type:
Day / Hour
Project description /Building services supervisor ________________________________________________________________
Address
Telephone / Fax
Builder
Address
Telephone / Fax
Planner
Address
Telephone / Fax
Contracted plumbing company
Address
Telephone / Fax
KESSEL-Commissions no.:
System operator /owner
Address
Telephone / Fax
User
Address
Telephone / Fax
Person of delivery
Other remarks
The system operator, and those responsible, were present during the commissioning of this system.
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Place and date
11. Important contacts / Info
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Signature owner
35
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Signature user