Unit Check-Out Sheet | 21TW Series Water to Water
6720220047 (2016/02)Revised 02-16
UNIT CHECK-OUT SHEET
Customer Data
Customer Name _____________________________________________ Date ___________________________________
Address ______________________________________________________
_______________________________________________________________
Phone _______________________________________________________ Unit Number ___________________________
Unit Nameplate Data
Unit Make _________________________________________
Model Number ____________________________________ Serial Number ____________________________________
Refrigerant Charge (oz) __________________________
Compressor: RLA ____________________ LRA ___________________________
Maximum Fuse Size (Amps) ____________
Maximum Circuit Ampacity _____________
Operating Conditions
Cooling Mode Heating Mode
Load Side Entering/ Leaving Fluid Temp
_______________ / _____________ _______________ / _____________
Load Side Fluid Flow (gpm)
______________________________ ______________________________
Source Side/ Leaving Fluid Temp
_______________ / _____________ _______________ / _____________
Source SideFluid Flow(gpm)
______________________________ ______________________________
Compressor Volts / Amps
_______________ / _____________ _______________ / _____________
Source Fluid Type
______________________________ ______________________________
Fluid Flow (gpm)*
______________________________ ______________________________
Fluid Side Pressure Drop*
______________________________ ______________________________
Suction / Discharge Pressure (psig)*
_______________ / _____________ _______________ / _____________
Suction / Discharge Temp* _______________ / _____________ _______________ / _____________
Suction Superheat* ______________________________ ______________________________
Entering TXV / Cap Tube Temp* ______________________________ ______________________________
Liquid Subcooling*
______________________________ ______________________________
* Required for Troubleshooting ONLY
Bosch
555 NW 65th Court
Fort Lauderdale, FL 33309
Phone: (866) 642-3198
Fax: (800) 776-5529