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AC/HP ���������������������������������������� FORM�� Distributor: Job Site Reference: Dealer: Date: Technician's Name: Installation date: MODEL INFO Model # Serial # Furnace or Fan coil: Control Voltage:_________ Vac ELECTRICAL INFO Outdoor Unit: Supply Voltage:______ Vac ��____ Air Cleaner: 3 Phase (��) Voltages: T1��T2______Vac UV Lights: Thermostat: T1��T3______Vac T2��T3_____Vac OUTDOOR Electronic Air Cleaner: Air Temp Entering Outdoor Coil:_______°F Furnace: Air Temp Leaving Outdoor Coil:_______°F Humidifier: Outdoor Fan Amps:_______ amps COMPRESSOR DATA Comfort Alert Code:__________________________ Htg.Metering Device:____txv ____piston #____ Comp. Start Voltage: _______ Vac Line Set Length:____ ft Comp. Run Amps: Com_______ Run________Start_______ Line Set Size: Suc____in, Liq____in Locked Rotor Amps: _________ amps R��C=_____�� AIRFLOW Refrigerant Pressures Electric Heat Temp Rise CFM Method Equal? ____yes ____no S��C=_____�� Run Cap: _______μF(1�� only) R��S �� R��C+C��S Volts = _______ Amps = _______ Hard Start Kit Used? ____yes ____no Ret. Air Temp.____°F Sup. Air Temp.† ____°F cfm = ________ REFRIGERANT PROPERTIES A. Vapor Line Temp. at Service Valve: _______°F B. Vapor Pressure SuperHeat_______°F (A - B) Electric Heat Temp Rise Method at Service Valve: _______psig ______°F cfm = C. Liquid Line Temp. at Service Valve: _______°F D. Liquid Pressure at Service Valve: _______psig ______°F Air Temp Entering INDOOR PROPERTIES Sub-Cooling_______°F (C - D) Indoor Coil: _______°FDB _______°FWB Air Temp Leaving indoor Coil: _______°FDB _______°FWB (Volts)(Amps)(3.413) 1.08(��T) Total External Static Method * Ret. Static + Sup. Static = Total External Static Use the Total External Static in conjunction with the Blower Performance data in the Product Specification Sheets Airflow: _______cfm NOTE: 350-400 CFM PER TON Supply Static *: _______w.c. (Used with Total External Static Method) Return Static *: _______w.c. (Used with Total External Static Method) SYSTEM CAPACITY (Cal. On page 2) Clg. Metering Device: ____txv ____piston #_____ Htg. Capacity (HP): _________btuh Htg.Blower Speed Tap:______ Clg. Blower Speed Tap:_____ Clg. Capacity (AC/HP):__________btuh Blower Amps: Hi Cool_______ amps Lo Cool_______amps Heat_______amps Htg. System Capacity Method Filter Type: btu's = (cfm)(1.08)(��T) Dip Switch Settings: __ (1) __(2) __(3) __(4) __(5) __(6) __(7) __(8) (Fan Coil) btu's = _________ Defrost Time Interval: ______ min ADDTL. COMMENTS: ������������������������������International Comfort Products �������������������� 4010680000�� �������������������������������������������������������������������������������������������������������� 113 ������������������������������������������������������������������������������ www.uri.com www.goarcoaire.com


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