Title Page
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Document Number
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Project / Order Number
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Date Tested
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Serial Number Range
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Full Product Code
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Pump Type
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Tested By
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Voltage
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Phase
Inspection
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Pump
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General Inspection
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Batch / Serial No Correct - PLEASE STATE
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Pump Cable
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Labels & Manuals
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Earth Continuity
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Cable Type & Quality
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Run Test
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Pressurised Test
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Check Oil
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Additional Inspection Necessary?
Additional Inspection
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Inspection Type
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Above Inspection Result
Insulation Resistance Test @ 500V
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Pump Voltage
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E / L1
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E / N
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E / CAP
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E / L1
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E / N
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E / CAP
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E / L1
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E / L2
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E / L3
Continuity Test Ohms Ω
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Pump Voltage
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L1 / N
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L1 / CAP
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N / CAP
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L1 / N
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L1 / CAP
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N / CAP
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L1 / L2
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L1 / L3
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L2 / L3
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Thermals or Thermistor
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T1
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T2
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T3
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T1
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T2
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T3
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Tested By
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Verified By
