6720220327
Revised 11-11 Subject to change without prior notice
Customer Data
Customer Name ________________________________________________ Date __________________________________
Address ________________________________________________________
__________________________________________________________________
Phone __________________________________________________________ Unit Number _________________________
Unit Nameplate Data
Unit Make ______________________________________________
Model Number _________________________________________ Serial Number_______________________________
Refrigerant Charge (oz) _____________________
Compressor: RLA ____________________ LRA ______________
Blower Motor: FLA (or NPA) __________ HP _______________
Maximum Fuse Size (Amps) ________________
Minimum Circuit Ampacity (Amps) _________
Operating Conditions
Cooling Mode Heating Mode
Entering / Leaving Air Temp
______________ / _____________ ______________ / _____________
Entering Air Measured at:
_______________________________ ______________________________
Leaving Air Measured at:
_______________________________ ______________________________
Entering / Leaving Fluid Temp
______________ / _____________ ______________ / _____________
Fluid Flow (gpm)
_______________________________ ______________________________
Fluid Side Pressure Drop
_______________________________ ______________________________
Suction / Discharge Pressure (psig)
______________ / _____________ ______________ / _____________
Suction / Discharge Temp
______________ / _____________ ______________ / _____________
Suction Superheat
_______________________________ ______________________________
Entering TXV / Cap Tube Temp
_______________________________ ______________________________
Liquid Subcooling
_______________________________ ______________________________
Compressor Volts / Amps
______________ / _____________ ______________ / _____________
Blower Motor Volts / Amps
______________ / _____________ ______________ / _____________
Auxiliary Heat
Unit Made ______________________________________________________
Model Number _________________________________________________ Serial Number ________________________
Max Fuse Size (Amps) __________________________________________
Volts / Amps ____________________________________________________
Entering Air Temperature _______________________________________
Leaving Air Temperature
Bosch group 601 N.W. 65th Court, Ft. Lauderdale, FL 33309
Phone: 954-776-5471 Fax: 954-776-5529
www.fhp-mfg.us
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