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U S DEPARTMENT OF AGRICULTURE RURAL UTILITIES SERVICE
RESULTS OF EQUIPMENT ACCEPTANCE TESTS
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BORROWER DESIGNATION |
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INSTRUCTIONS - Borrower's engineer will prepare 2 copies for each project on completion of the acceptance tests and distribute 1 copy to borrower & I copy to installer |
PROJECT |
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SELLER |
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A. |
COMPLETE THIS SECTION IF DISCREPANCIES WERE FOUND DURING TESTS. |
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1. THE FOLLOWING DISCREPANCIES WERE FOUND AND HAVE BEEN CORRECTED: (List below or on attached sheet) |
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2. THE FOLLOWING FOUND DISCREPANCIES HAVE NOT BEEN CORRECTED: (List below or on an attached sheet) |
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NAME OF SELLER |
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NAME OF ENGINEERING COMPANY |
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By |
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SIGNATURE OF INSTALLER |
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SIGNATURE OF ENGINEER |
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B. |
COMPLETE THIS SECTION IF NO DISCREPANCIES WERE FOUND DURING TESTS |
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1. THE EQUIPMENT MEETS THE REQUIREMENTS OF THE RUS ACCEPTANCE TESTS: |
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NAME OF SELLER |
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NAME OF ENGINEERING COMPANY |
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By |
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SIGNATURE OF INSTALLER |
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SIGNATURE OF ENGINEER |
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RUS FORM 395d (Issued )
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | DEPARTMENT OF AGRICULTURE |
Author | norberto.esteves |
File Modified | 0000-00-00 |
File Created | 2021-01-28 |