IOM 1207-6 • TRAILBLAZER
®
MODEL AGZ CHILLERS 138 www.DaikinApplied.com
Complete and mail to: Daikin Applied, Attn: Warranty Department, PO Box 2510, Staunton, VA 20042-2510
Or email to: stn.wty_startup_regi@DaikinApplied.com
Start-Up Date: No. of units at site: _____
Daikin G.O.:
Daikin S.O.:
Unit Model No.: ______________________________________
Serial Number
Before beginning, confirm that items on the Pre-Start Checklist have been completed and initial: _____________
Note Discrepancies here or on Page 6.
JOB INFORMATION
UNIT INFORMATION
This form must be completely filled out and returned to Daikin Applied (Warranty Department)
within ten (10) days of start-up in order to comply with the terms of the Daikin Limited Product Warranty.
New Chiller Start-Up Form - Air-Cooled Scroll Compressor Equipment
AGZ and AMZ
Purchasing Contractor Information:
Component Model Number
Compressor # 1:
Compressor # 2:
Compressor # 3:
Compressor # 4:
Compressor # 5:
Compressor # 6:
Benshaw/DRC Control Box M/M #:
Benshaw/DRC Control Box S/N #:
SF-20001 AGZ/AMZ Start-Up 8/2020
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