Instruction Manual
Device Placement (Bottom View)
NOTE:
1. Two electrical/communication/medical gas devices cannot be placed together at any corner.
2. Maximum of 2 D5 provisions only.
3. The Nitrogen Control Panel will occupy three spaces of the bulkhead (E.G. A2 to A4).
Please fill the devices that you require for your application.
(Specify by using the symbols on Page 5 of this Approval Booklet.)
Approval Signature Date Phone No.
Positions 1 - 12 = Medical Gas Outlets
Posititions A1 - D5 = Electrical and/or communication devices
Location of Nitrogen Control Panel
Side A
Side B
Side C
Side D
Please Specify Outlet Language
US
CAN
FRENCH
SPANISH/US
SPANISH/ISO
Gas Legend
Oxygen = O
Medical Air = A
Vacuum = V
Nitrous Oxide = 2
Nitrogen = N
Carbon Dioxide = C
WAGD (US) = W
AGSS (Canada) = E
Instrument Air = I
Nitrogen Control Panel
Yes
No
6 Amico Pipeline