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Basic Information
Compressor Data
Electrical Data
Transformer Size: Fuse/Breaker Size:
Refrigeration Equipment Data
Unit Physical Inspection: Pass / Fail
Date:
Company Name: Rep. Firm (If Applicable):
Unit Model #: Serial #:
Power Source: Controls:
Blower: Fans:
Suction Valve Size: Discharge: Liquid Line:
Condenser Data: Evaporator Data:
Refrigerant Type:
Model #: Serial #:
Connection Condition:
Crankcase Heater:
Capacitor MFD:
Low Pressure Switch Cut In: Cut Out:
Tested By: Inspected By:Date: Date:
Manufacturer: Size: Part #:Solenoid Valve Coil:
Compressor Time Delay:Compressor:
Size:Manufacturer:Thermal Expansion Valve Part #:
Voltage:
Refrigerant Quantity:
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