Mainline Optical Connections Ltd -

Store name

Postcode

Email

Phone

Contact name and Job Title (please include at least 2 of the following. Store Director, Lab manager, Retail manager)

Edger 1 Waste Pipe Size

Do you have a similar waster regulator tap to this image

Yes No Regulator tap location? Image of regulator tap location

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Edger 2 Waste Pipe Size

Do you have a similar waster regulator tap to this image

Yes No Regulator tap location? Image of regulator tap location

Close

Edger 3 Waste Pipe Size

Do you have a similar waster regulator tap to this image

Yes No Regulator tap location? Image of regulator tap location

Close

Edger 4 Waste Pipe Size

Do you have a similar waster regulator tap to this image

Yes No Regulator tap location? Image of regulator tap location

Close

Approx jobs per week

Room temperature °C

Is there a spare 13amp rated socket no more than 1.5 metres away from site of installation?

Yes

No

Are there any faults or impediments to the flow of water on any of your machines? (Fitting a new filtration unit will not have any affect on this)

Yes

No

Is there anything under the bench that cannot be removed that may stop the filtration unit from fitting fully underneath the bench e.g. mains water waste pipe?

Is there any restriction regarding loading bays or parking, eg need to book in day before, 2 hour time limit etc

Please attach photos of the following:

The location of the edger/s in the lab
The underneath of the bench where the edger/s are located
Any obstructions underneath the bench

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Mainline Optical Connections Ltd

01377 257752

Filtration System Pre Installation Form test

Required

Please attach photos of the following:

The location of the edger/s in the lab

The underneath of the bench where the edger/s are located

Any obstructions underneath the bench

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