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Capstone Turbine Corporation · 21211 Nordhoff Street · Chatsworth · CA 91311 · USA Telephone: (818) 734-5300 · Fax: (818) 734-5320 · Web: www.microturbine.com

Commissioning Checklist - MicroTurbines

Upon completion of commissioning of the MicroTurbine, fill out this form, keep a copy for reference, and return the original to Capstone. A separate form must be completed for each commissioned system if not in a MultiPac configuration.

Only one completed form is required for each MultiPac configuration.

System Serial Number (or MultiPac Serial Numbers):

Date: Owner: Location: City:

Modem Number:

State:

IP Address:

Operator:

Address:

Zip Code: Country:

Installation

Site Contact Phone Number: Site Contact Cell Number: Site Contact e-mail Address:

Phone:

Inspections

Site Contact Name:

System Part Number:

Site Contact Fax Number:

Site Elevation:

Site Utility Account Representative:

Mechanical Inspection

1. Is there adequate drainage around the MicroTurbine to prevent standing water?

Circle: Y N

2. Model 330 Standard Package - Is the MicroTurbine installed on a surface that allows the cart to be rolled out? Circle: Y N

3. Clearances:

• Model 330 Standard Package - When the cart is rolled out, is there adequate room to access all components, including rolling the cart out far enough to get into the enclosure behind the cart if necessary? Circle: Y N (Recommended clearances in mm/in: Front - 1575/62

Side - 1067/42 Rear - 914/36.)

• Model 330 Industrial Package - Is there adequate clearance to remove the panels to access all

components, including access to the front and the rear of the system? (Recommended clearances in mm/in: Front - 914/36 Side - 1067/42

512903-001rA (Jan 2002) 1 of 13

Circle: Y N Rear - 914/36.)

Commissioning Checklist

This information is proprietary to Capstone Turbine Corporation. Neither this document nor the information contained herein shall be copied, disclosed to others, or used for any purposes other than the specific purpose for which this document was delivered. Capstone reserves the right to change or modify without notice, the design, the equipment specifications, and/or the contents of this document without incurring any obligation either with respect to equipment previously sold or in the process of construction.

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