25
Well-Connect System Start-Up Report
Completed Form Required For Manufacturer Warranty Coverage
Customer Name: ___________________________________________________________________________________
Customer Address: ________________________________________________________________________________
Dealer Name:
__________________________
Installer Name: _________________________________
Well-Connect Serial #: _________________________Installation Date: _______________________________
System Configuration
(Check One)
: Stand-Alone
Self-Ducted Hybrid
*Note* - Terra Caloric strongly recommends photographic documentation of all completed installations.
Electrical:
Waterside:
Airside:
Well Pump: Final Checklist: Sign-Off:
Pump Type
Submersible
Jet pump
Pressure
Switch Setting
On @ ______psi
Off @______psi
Voltage
(Pump Running)
Amperage
“ON” Cycle
Time
___
min _____sec
“OFF” Cycle
Time
___
min _____sec
Model #:
Pressure
Tank(s)
Drawdown
Gallons___________
Power Supply
Wire Size
Circuit
Breaker Size
Line Voltage
(Unit Running)
Total Running
Amperage
Heat
Cool
Input power
(Amps x Volts)
(watts)
Heat
Cool
Notes:
Actual Flow Rate: _____gpm
Heating
Cooling
Supply
Water
Temp
Discharge
Water
Temp
Water
∆
T
Notes:
Heating Cooling
Supply Air
Temp
Return Air
Temp
AIR
∆
T
Check if fossil fuel furnace
blower set to run during
Well-Connect cooling mode
Notes:
Thermostats calibrated
2
nd
stage operation tested
in Hybrid application
(20 min)
Backdraft damper installed
in fossil fuel furnace supply
Discharge piping drains
completely. Pipe size________
Termination point verified.
Air filter in place
User Guide left with owner
Preventive maintenance service
offered to owner
Propane Tank Level
______________%
I acknowledge that the
information on this start-up
form is complete and accurate,
and understand that omissions
or false information may result
in loss of standard warranty
coverage by Terra Caloric, LLC.
Installer’s Signature
Installer’s Printed Name
Date of Start-Up
