10
Upblast Centrifugal Roof Exhaust Fans
Job Information
Job Name: ___________________________________
Service Organization: ______________________________
Address: _____________________________________
Address: _________________________________________
City: ________________________________________
City: _____________________________________________
State:
_______________ Zip:
__________________
State:
____________ Zip:
__________________________
Phone: ______________________________________
Phone: ___________________________________________
Contact Person: ______________________________
Work Done By: ____________________________________
Nameplate Information
Field Start-Up Documentation
Model: ______________________________________
Volts:
_________ Hertz:
________ Phase:
______
Actual
Voltage:
_________ Hertz:
_____ Phase:
_____
Amps: _______________ Mark: ________________
Actual Amperage: _________________________________
Supply hp: ___________ Exhaust hp: ___________ Blower
Rotation:
__________________________________
Serial Number: _______________________________
Air Volume:
Design cfm: _________________________
Model Voltage: _______________________________
Actual cfm: __________________________
Motor Amperage: _____________________________
Level of fan (L or H): _______________________________
Fan RPM: ____________________________________
Fan RPM Range (min.) ___________ (max.) __________
Date ___________________Time _____________ AM/PM
Notes: ___________________________________________
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Date ___________________Time _____________ AM/PM
Notes: ___________________________________________
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Date ___________________Time _____________ AM/PM
Notes: ___________________________________________
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Date ___________________Time _____________ AM/PM
Notes: ___________________________________________
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Date ___________________Time _____________ AM/PM
Notes: ___________________________________________
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Date ___________________Time _____________ AM/PM
Notes: ___________________________________________
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Date ___________________Time _____________ AM/PM
Notes: ___________________________________________
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Date ___________________Time _____________ AM/PM
Notes: ___________________________________________
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Maintenance Documentation
Maintenance Log
®
