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 (specify 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.
Place of signature: .............................................................. Date of signature:
Signature of the Owner of the Equipment to be installed
Signature of the certified installer
Tax number
..............................................................
Company stamp
EVVO CLIMA 9000/12000/18000/24000
ENGLISH
411
