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Capstone Turbine Corporation • 21211 Nordhoff Street • Chatsworth • CA 91311 • USA Capstone Air Pack: Installation Procedure COMMISSIONING CHECKLIST (Page 1 of 2) The Commissioning Checklist must be completed AFTER performing all of the steps on the Commissioning Procedure above. A separate Commissioning Checklist form must be completed for each Air Pack commissioned. NOTE NOTE Upon completion of commissioning of the Air Pack system, provide a signed copy of the Commissioning Checklist to end user, and provide the signed original to Capstone. NOTE __ 65X-XXX-XXXX (Catalog No.) - C65 __ 523765-1XX (Air Pack) MT Serial No. (one with Air Pack): Air Pack Serial No.: Commissioning Date: Unit Owner: Contact E-Mail: Contact Fax: Address: State: Country: Customer Information Contact Name: Contact Phone: Location: City: Zip Code: Site Utility: Installation Information Site Contact Cell Phone #: Site Contact E-Mail: IP Address: Supply Fuel Pressure: OEM Part No/Serial No (If applicable): ASP Company: ASP Cell Phone #: Miscellaneous Information (dates, etc): Customer Signature: ASP Signature: 480038 Rev A (March 2008) Site Contact Fax: Modem Phone: System Part No.: Site Elevation: Distributor: ASP Technician: ASP E-Mail: Capstone reserves the right to change or modify, without notice, the design, specifications, and/or contents of this document without incurring any obligation either with respect to equipment previously sold or in the process of construction. Page A-3PDF Image | CAPSTONE AIR PACK INSTALLATION PROCEDURE
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