10
Upblast Centrifugal Roof Exhaust Fans
Job Information
Job Name: ___________________________________ Service Organization: ______________________________
Address: _____________________________________ Address: _________________________________________
City: ________________________________________ City: _____________________________________________
State: _______________ Zip: __________________ State: ____________ Zip: __________________________
Phone: ______________________________________ Phone: ___________________________________________
Contact Person: ______________________________ Work Done By: ____________________________________
Nameplate Information Field Start-Up Documentation
Model: ______________________________________
Volts: _________ Hertz: ________ Phase: ______ Actual Voltage: _________ Hertz: _____ Phase: _____
Amps: _______________ Mark: ________________ Actual Amperage: _________________________________
Supply hp: ___________ Exhaust hp: ___________ Blower Rotation: __________________________________
Serial Number: _______________________________ Air Volume: Design cfm: _________________________
Model Voltage: _______________________________ Actual cfm: __________________________
Motor Amperage: _____________________________ Level of fan (L or H): _______________________________
Fan RPM: ____________________________________ Fan RPM Range (min.) ___________ (max.) __________
Date ___________________Time _____________ AM/PM
Notes: ___________________________________________
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Maintenance Documentation
Maintenance Log
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