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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 Documentation
Maintenance
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:
Date Time Notes:
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