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Appendix B - CombiSteel 7469 series Gebrauchsanweisung

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Appendix B

(Example)
City (place) of acceptance of product _________________________________________
Name of recipient (organisation, company) of product ______________
_______________________________________________________________________
Address and shipping details ________________________________________
_______________________________________________________________________
"___", _________ 20 year
ACT OF TECHNICAL STATE
This act has been drawn up by ______________________________________________
with representatives ________________________________________________
__________________________________________________________________
(Name and function of the manufacturer's representative or representation of the organization involved, the
date and the number of the document on the competences of representatives to participate in audit
procedures)
(A Letter sent to a representative of the manufacturer to call on him is sent under number __ on "___" ______
20 )
that when checking the product ______________________made________
_______________________________________________________________________
(Name and address)
serial number of product_______________ the following problems were diagnosed:
1. Conditions for storage of products in stock by the receiver:
_______________________________________________________________________
(Specify the conditions under which the product is stored)
2. State of the packaging
_______________________________________________________________________
(Indicate the outer label, the date on which the seal was broken, the number of missing parts,
the costs, the disadvantages of the packaging)
3. The product is being installed
_______________________________________________________________________
(Specify the conditions under which the product is installed)
4. Installation of the product
_______________________________________________________________________
(Indicate when and by whom installed, the quality of the installation)
5. State of the product
_______________________________________________________________________
(Provide the state of engineering, electrical equipment, the condition of their protection, etc.,
the serial number, the manufacturing date)
6. The list of errors (defects):
_______________________________________________________________________
7. To restore the product, this must be done:
_______________________________________________________________________
Act made on "___", ______ 20 year
Signatures:
(The form must be signed by all persons involved in the verification of quality and product structure)
Place of Stamp
(Representative of the name of the recipient, title)
(Name of the product)
www.combisteel.com
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