MAN0340001 - 07/2019
5
www.gentilinair.com
Instruction Manual - Clinic 3.40 Compressors
StatEmENtS aND tEStINg
StatEmENt of DELIVERY of tHE INStRuCtIoN maNuaL
The employer, to the extent required by applicable law on safety and health of workers at
work, hereby declares it has delivered to the authorized operators this manual for the correct
information and training on use and maintenance of the machine.
Before filling in the table, photocopy it for future reference.
autHoRIZED opERatoRS
DatE
SIgNatuRE foR RECEIpt
Mr._______________________________________
__________
____________________________________________
Mr._______________________________________
__________
____________________________________________
Mr._______________________________________
__________
____________________________________________
Mr._______________________________________
__________
____________________________________________
Mr._______________________________________
__________
____________________________________________
Mr._______________________________________
__________
____________________________________________
Mr._______________________________________
__________
____________________________________________
Mr._______________________________________
__________
____________________________________________
Mr._______________________________________
__________
____________________________________________
Mr._______________________________________
__________
____________________________________________