19
Job Information
Job Name:________________________________________
Address:__________________________________________
City: ________________ State: ________ Zip: __________
Phone: __________________ Fax: ____________________
Contact Person:___________________________________
Service Organization: ______________________________
Address:__________________________________________
City: ________________ State: ________ Zip: __________
Phone: __________________ Fax: ____________________
Work Done By: ____________________________________
Name Plate Information
Model: ___________________________________________
Volts: ___________ Hertz: __________ Phase: _________
Min. Circuit Amps: _____________ Mark: _____________
Supply Hp: _____________ Exhaust Hp: ______________
Unit Serial Number:
______________________________
Supply Motor Voltage:
Supply Motor Amperage:
Supply Fan rpm:
Exhaust Motor Voltage:
Exhaust Motor Amperage:
Exhaust Fan rpm:
Maintenance
Date
Time
Notes:
Field Start-Up Documentation
Actual Voltage:
Hertz:
Phase:
Actual Amperage:
Supply Blower
Rotation
❏
Correct
Air Volume Design
cfm
Actual
cfm
Exhaust Blower
Rotation
❏
Correct
Air Volume Design
cfm
Actual
cfm
UNIT MAINTENANCE DOCUMENTATION
