E D R O
D
y n a
W
a s h
®
T
h r e e
P
o c k e T
W
a s h e r
- e
x T r a c T o r s
112
Installation, On-Site Testing &
Operational Checkout Form
D
ate
of
I
nstallatIon
:
M
oDel
n
o
.:
s
erIal
n
o
.:
D
IstrIbutor
:
I
nstallatIon
I
nspecteD
b
y
:
p
urchaser
’
s
n
aMe
& M
aIlIng
a
DDress
:
I
nstalleD
b
y
(c
oMpany
n
aMe
):
I
nstallatIon
a
DDress
:
c
haIn
a
ffIlIatIon
, I
f
a
ny
:
I
nstallatIon
I
nspectIon
:
y
es
n
o
M
achIne
l
evel
M
achIne
g
routeD
b
olts
t
Ight
3 p
hase
c
IrcuIt
b
reaker
a
Mp
s
Ize
v
oltage
M
achIne
g
rounDeD
h
ot
W
ater
l
Ine
s
Ize
:
c
olD
W
ater
l
Ine
s
Ize
:
D
raIn
: o
pen
p
It
D
raIn
p
Ipe
s
Ize
:
M
achIne
o
peratIon
: (c
heck
If
o.k.)
M
achIne
e
Mpty
p
oWer
o
n
(
safety
Interlocks
)
u
nlock
& o
pen
D
oor
r
un
t
est
p
rograM
(50)
v
erIfy
o
peratIon
h
ot
W
ater
c
olD
W
ater
W
ater
l
evel
D
raIn
D
ynozone
h
eat
(
If
applIcable
)
r
otatIon
s
tanDarD
W
ash
f
orWarD
r
everse
D
elIcate
f
luff
D
IstrIbutIon
e
xtract
c
lockWIse
r
otatIon
c
heck
for
l
eaks
f
Ill
t
IMe
D
raIn
t
IMe
o
ptIons
(
lIst
)
M
arket
: (c
heck
o
ne
):
h
ealth
c
are
h
ospItal
h
otel
/M
otel
l
Inen
s
ervIce
o
ther
To complete machine registration, photo copy and fax to EDRO (860) 828-5984.
