GOK BC-1 Serie Notice De Montage Et De Service page 40

Address of operator
Place, date, signature
The safety equipment was subjected to a recurring FUNCTION CHECK and worked correctly
at that time.
Place, date
For Switzerland, the following must be observed:
The name of the installation company with on-call service and telephone number must be
20 / 20
Installation certificate – page 2
Recurring FUNCTION CHECK
attached to the indicator of the BC-1!
Regler- und Armaturen-Gesellschaft mbH & Co. KG
Obernbreiter Straße 2-18 • 97340 Marktbreit / Germany
Tel.: +49 9332 404-0 • Fax: +49 9332 404-43
E-Mail: info@gok-online.de • www.gok-online.de • www.gok-blog.de
Overfill prevention device type BC-1
Address of specialised company
Place, date, signature, stamp of the specialised company
Specialised company (stamp, signature)
part no. 15 700 51 g