Date Found Date Found By Location Reason for Negative Response Resolved Resolved Resolution YES / NO YES / NO YES / NO YES / NO YES / NO C) VALVE & FITTING INSTALLATION CHECKS Questions (See details below) % 1) 2) 3) 4) 5) 6) 7) 8) 9) Date Description of Work Performed Complete Initials YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details Heat exchanger is mounted below cylinder head of engine. Radiator surge tank installed 4" above radiator or as recommended by the equipment supplier. Engine surge tank installed 4" above highest engine water outlet piping. All valves are in an upright vertical position with handles in a horizontal position. All valves can be fully operated without removal or alteration of handle, including provisions for specified insulation thickness of piping.
Date Found Found By Location Reason for Negative Response Resolved Date Resolved Resolution YES / NO YES / NO YES / NO YES / NO YES / NO C) VALVE & FITTING INSTALLATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 4) 5) 6) 7) 8) 9) YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details Heat exchanger is mounted below cylinder head of engine. Radiator surge tank installed 4" above radiator or as recommended by the equipment supplier. Engine surge tank installed 4" above highest engine water outlet piping. All valves are in an upright vertical position with handles in a horizontal position. All valves can be fully operated without removal or alteration of handle, including provisions for specified insulation thickness of piping.
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