Greenheck DGX - Page 43

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Date Time Notes:
Job Information
Job Name: ____________________________________
Address: ______________________________________
City: ________________ State: ________ Zip:_______
Phone: __________________ Fax:_________________
Contact Person: _______________________________
Service Organization: _____________________________
Address: ________________________________________
City: ________________ State: ________ Zip: _________
Phone: __________________ Fax: ___________________
Work Done By:___________________________________
Name Plate Information
Model:________________________________________
Volts: ___________ Hertz: __________ Phase: ______
Amps: __________________ Mark: ________________
Supply hp: _____________ Exhaust hp: ___________
Serial Number:_________________________________
Motor Voltage:
Motor Amperage:
Fan rpm:
Maintenance Log
Field Start-Up Documentation
Actual Voltage:
Hertz: Phase:
Actual Amperage:
Blower Rotation
Air Volume Design cfm
Actual cfm
High Fire Manifold Pressure:
Low Fire Manifold Pressure:
Maintenance
Maintenance - Log