HEATING TECHNICAL EVALUATION FORM Date: ______________________________Installation Date: ____________________________ Dealer: _____________________________Distributor: _________________________________ Tech: ______________________________Customer: _________________________________ Equipment Model # Serial # Furnace Thermostat Humidifier Indoor Coil Outdoor Unit Electronic Air INSTALLATION DATA Furnace Location________________________________ Furnace Orientation: Upflow, Downflow, Horizontal Right, Horizontal Left Type of Fuel______________________________ Filter Size _________________inches Thickness ____________inches (Natural Gas, LP, Oil) Single Stage Furnace Heat Off Delay ___________sec. Heating Speed Tap Selected___________ Cooling Speed Tap Selected __________ Two Stage Furnace Low Fire Tap Selected_________ High Fire Tap Selected ____________ Cooling Speed Tap Selected _________ Furnace Control Board DIP Switches: 1. ON /OFF 2. ON /OFF 3. ON /OFF (Circle answer) Variable Speed Furnace Tap Select Interface Board Part # (TSIB) ______________________ Board Color GREEN /WHITE (Circle answer) TSIB DIP Switch Settings 1. ON/OFF 2. ON/OFF 3. ON/OFF 4. ON/OFF 5. ON/OFF 6. ON/OFF 7. ON/OFF 8.ON/OFF (Circle answer) HK42PG003 (White Board) J1 jumper position : + NOM/ NOM / - NOM J2 jumper: AC/HP EFFICIENCY /HP COMFORT OPERATIONAL CHECKS FLASH CODE ______________ (number) FLAME SENSOR CURRENT _______________ uA D.C Voltage Checks Line Voltage ________vac(s) Control Voltage _________vac(s) Line Voltage_______ vac(o) Control Voltage _________ vac(o) Main Limit _________vac(o) Roll Out Switch __________vac(o) Pressure Switch __________vac(o) * S = Static Condition O = Operating Condition Copyright 2013 International Comfort Products 07/29/2013 40106820002 �������������������������������������������������������������������������������������������������������� 117 ������������������������������������������������������������������������������ www.uri.com ������������������������������������
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