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22
© 2021 United States Stove Company
It is recommended that your heating system is serviced regularly and that the appropriate Service Interval
Record is completed.
SERVICE PROVIDER
Before completing the appropriate Service Record below, please ensure you have carried out the service
as described in the manufacturer’s instructions. Always use the manufacturer's specied spare part when
replacement is necessary.
Service 01 Date: _____________________
Engineer Name: _______________________________
License No.: ____________________________________
Company: _____________________________________
Telephone No.: _________________________________
Stove Inspected: Chimney Swept:
Items Replaced: _______________________________
Service 03 Date: _____________________
Engineer Name: _______________________________
License No.: ____________________________________
Company: _____________________________________
Telephone No.: _________________________________
Stove Inspected: Chimney Swept:
Items Replaced: _______________________________
Service 05 Date: _____________________
Engineer Name: _______________________________
License No.: ____________________________________
Company: _____________________________________
Telephone No.: _________________________________
Stove Inspected: Chimney Swept:
Items Replaced: _______________________________
Service 07 Date: _____________________
Engineer Name: _______________________________
License No.: ____________________________________
Company: _____________________________________
Telephone No.: _________________________________
Stove Inspected: Chimney Swept:
Items Replaced: _______________________________
Service 02 Date: _____________________
Engineer Name: _______________________________
License No.: ____________________________________
Company: _____________________________________
Telephone No.: _________________________________
Stove Inspected: Chimney Swept:
Items Replaced: _______________________________
Service 04 Date: _____________________
Engineer Name: _______________________________
License No.: ____________________________________
Company: _____________________________________
Telephone No.: _________________________________
Stove Inspected: Chimney Swept:
Items Replaced: _______________________________
Service 06 Date: _____________________
Engineer Name: _______________________________
License No.: ____________________________________
Company: _____________________________________
Telephone No.: _________________________________
Stove Inspected: Chimney Swept:
Items Replaced: _______________________________
Service 08 Date: _____________________
Engineer Name: _______________________________
License No.: ____________________________________
Company: _____________________________________
Telephone No.: _________________________________
Stove Inspected: Chimney Swept:
Items Replaced: _______________________________
SERVICE RECORD
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