
Form CPD1030-0506 © Thermon Manufacturing Co. Printed in U.S.A.
Thermon . . . The Heat Tracing Specialists
100 Thermon Dr. • PO Box 609 • San Marcos, TX 78667-0609
Phone: (512) 396-5801 • Facsimile: (512) 396-3627 • 800-820-HEAT
www.thermon.com In Canada call 800-563-8461
Customer: Contractor:
Address: Address:
Phone No: Phone No.
Project Reference:
Record 1: Prior to Installation
Cable Type:
Heater Length:
Heater Number:
Insulation Resistance M Ohms:
Tested By: Date:
Witnessed By: Date:
Record 2: After Installation
Insulation Resistance M Ohms:
Tested By: Date:
Witnessed By: Date:
Record 3: While Pouring Concrete
Insulation Resistance M Ohms:
Tested By: Date:
Witnessed By: Date:
Record 4: Final Commissioning
Panel Number:
Breaker Number:
Volts:
Ambient Temperature (deg. F):
Recorded Amps:
Tested By: Date:
Witnessed By: Date:
SnoTrace
™ KSR
™ Cable Testing Report
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