Vacuum Pump - Dekker Vacuum Technologies, Inc

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Start-Up Record Form

* Required fields.

* Company Name:

* Contact Name:

Email:

* Address:

* City:

* State:

* ZIP:

* SYSTEM INFORMATION

* Pump/System model:

* System serial No.:

* Pump 1 serial No.:

Pump 2 serial No.:

Pump 3 serial No.:

Pump 4 serial No.:

* Start-up performed by:

DEKKER Distributor

Self

Other

* Name:

* Company:

* OPERATING CONDITIONS:

Application:

System Vacuum:

System Voltage:

Operators Manual included:	Yes	No
Parts List included:	Yes	No
System bolted to floor:	Yes	No
Inlet piping supported:	Yes	No
Discharge piping supported:	Yes	No	Pipe size:
Discharge drip leg installed:	Yes	No	Drip leg size:
Adequate Ventilation:	Yes	No	Other:
Coupling alignment performed:	Yes	No	Method:

OPERATING DATA:

* Vacuum/level:

* Ambient temperature:

Comments:

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935 South Woodland Avenue • Michigan City, IN 46360-5672 • Tel: 219-861-0661 • Toll free: 888-925-5444 • Fax: 219-861-0662