Idiomas disponibles
Idiomas disponibles
EQUIPMENT DETAILS
Brand
Model
Serial number
Amount and type of gas
AUTHORISED INSTALLATION COMPANY
Name
Address
Company Registration No.
Issued by (indicate Autonomous Community)
CERTIFIED FITTER AND TYPE OF G.F.C. HANDLER CERTIFICATE
Name
Registration number
Issued by (indicate Autonomous Community)
Type of certification (greater or less than 3 kg load)
OBSERVATIONS:
DECLARATION
I declare that the installation of this equipment and, where applicable, the dismantling of the
existing equipment has been carried out by a qualified company with personnel certified for
its installation in accordance with Royal Decree 115/2017 of 17 February and Regulation (EU)
517/2014 on fluorinated greenhouse gases.
I also declare that I am aware of the responsibilities that arise in the event of non-compliance
with this legal obligation.
In...................................... on ...... of ................................... of ..............
Signature of the owner of the equipment to be installed
AIRCLIMA 9000 SMARTFRESH/ AIRCLIMA 12000 SMARTFRESH/ AIRCLIMA 18000 SMARTFRES/
certified installer and
Company stamp
AIRCLIMA 24000 SMARTFRESH/ AIRCLIMA 12000 SMARTFRESH CONNECTED
TAX NUMBER
Signature of the
ENGLISH
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