28
GREENHECK
P.O. BOX 410 SCHOFIELD, WISCONSIN 54476-0410
PH. 715-359-6171
®
IG-IOM
Rev 2
May 1999 FS
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:__________
Amps: __________________ Mark: ___________________
Supply hp: _____________ Exhaust hp: _______________
Serial Number: ____________________________________
Furnace Serial Plate Information
Model: ___________________________________________
Serial Number: ___________________________________
Gas Type: ________________________________________
BTU (IG Size): ____________________________________
Motor Voltage:
Motor Amperage:
Fan rpm:
High Fire Manifold Pressure:________________________
Low Fire Manifold Pressure:________________________
Maintenance Documentation
Maintenance
Date
Time
Notes:
Field Start-Up Documentation
Actual Voltage:
Hertz:
Phase:
Actual Amperage:
Blower Rotation
❏
Correct
Air Volume
Design
cfm
Actual
cfm
