Long Term Maintenance Card for the Prevention of Restored Art Works Associazione Bastioni, Via San Niccolò 91/93r, 50125 Florence Tel 055.2023866 Fax 055 2480696 www.ass-bastioni.com email [email protected] Date after treatment

Present date

Signature conservator/ restorer undertaking inspection

Signature Client To be signed after inspection is completed

2 Years 4 Years 8 Years 16 years Please fill-in the following Information Name/Surname of the conservator/restorer who originally treated the object Contact details: Telephone number

email

Name/ Surname of the conservator/restorer who is undertaking inspection Contact details: Telephone number

email

Name/Surname/Position of the Client Contact details: Telephone number

email

Address where the object is stationed: Street Date treatment was concluded



City

ITALY

Does a report assessment/condition/treatment exist on the premises? yes

Does a report assessment/condition/treatment exist at the Associazione Bastioni? yes Was treatment followed by a Soprintendenza ? yes

no

no

no

Which Soprintendenza?

Name of Inspector

Protocol n° Answer the following questions ticking the yes or no box when related to the object in question

Do you see any structural problems ? yes

no

Do you see any problems related to the support? yes

Do you see any problems related to priming layers?

yes

no

Do you see any problems related to colour layers? yes

Do you see any problems related to varnish/protective layers? yes Is the object affected by dust/black lamp/soot? yes Are environmental conditions monitored? yes

no no

no

no

Do you see alterations in retouched areas? yes

Are environmental conditions healthy for the object? yes

no

Is the object directly exposed to natural light? yes

Is the object part of a general maintenance plan? yes

no

Are you going to attach photographs to this card? yes

If the object is outside, is it protected from atmospheric weathering? yes

A

no no no no

no

Does the object requires maintenance? specify in box B

B

no

Does the room/ambient have a fire extinguisher/fire alarm? yes

Does the room/ambient have pest control traps? yes

Use box A for further specifications

no

Box C is to be filled by the A. Bastioni

C Date the card was received

Photographs attached? yes

no

If yes, how many?

Date the card was archived

Signature and Stamp of the Associazione Bastioni

Maintenance Card.pdf

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