10
Downblast 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.) ______________
Maintenance Documentation
Maintenance Log
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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