Daikin Enfinity VFC - Water Source Heat Pump Equipment Check, Test and Start Form; Essential Items Check and System Verification

www.DaikinApplied.com 39 EnnityVerticalWaterSourceHeatPumps• IM 930-6
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Job Name _________________________________________________________Check,Test&StartDate________________
CityorTown __________________________________________ State_________________________ Zip________________
WhoisPerformingCTS _____________________________________
Equipment Type (Check all that apply)
General Contractor_________________________________________
Essential Items Check of System – Note: “No” answers below require notice to installer by memorandum (attached copy.)
□
ClosedLoop
□
OpenLoop
□
Geothermal
□
Other(specify)______________
Water Source Heat Pump Equipment Check, Test and Start Form
Essential Items Check
A.VoltageCheck__________ Volts LoopTemp.___________ °FHeating SystemWaterP.H.Levels__________
 SetFor ___________ °FCooling
B.Yes No Condition Comments
□ □ LoopWaterFlushedClean_________________________________________________________________
□ □ ClosedTypeCoolingTower_________________________________________________________________
□ □ WaterFlowRatetoHeatPumpBalanced______________________________________________________
□ □ StandbyPumpInstalled ___________________________________________________________________
□ □ SystemControlsFunctioning _______________________________________________________________
□ □ OutdoorPortionofWaterSystemFreezeProtected______________________________________________
□ □ LoopSystemFreeofAir___________________________________________________________________
□ □ FiltersClean ____________________________________________________________________________
□ □ CondensateTrapsInstalled_________________________________________________________________
Note:“No”answersbelowrequirenoticetoinstallerbymemorandum(attachedcopy.)
□ □ OutdoorAirtoHeatPumps:________________________________________________________________
□ □ OtherConditionsFound:___________________________________________________________________
Thisformmustbecompletedandsubmittedwithinten(10)daysofstart-uptocomplywiththetermsoftheDaikinwarranty.Formsshould
bereturnedtoDaikinWarrantyDepartment.
Installation Data
PleaseincludeanysuggestionsorcommentsforDaikinApplied:___________________________________________________
 ______________________________________________________________________________________________________
 ______________________________________________________________________________________________________
 ______________________________________________________________________________________________________
Above System is in Proper Working Order
Note: This form must be lled out and sent to the warranty administrator
before any service money can be released.
Date
SignatureforSalesRepresentative
SignatureforCustomer
For Internal Use
Release:
SM________________________
 CTS________________________
T ________________________
ServiceManagerApproval
Date
 FormWS-CTS-00.01(Rev.4/14)