Information
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Client
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Conducted on
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Prepared by
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Location
Check No.1
- Before/Unit No.
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Noise inspection
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Visual Inspection
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Running H/L Pressure Gas/psi before Service
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Running Amp before Service.
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Voltage
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Turn Off/LOTO Incoming Supply
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Air Conditioning Nametag
Check No.2
- After/Unit No.
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Chemical Servicing
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Noise inspection
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Visual Inspection
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Running H/L Pressure Gas/psi after Service.
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Running Amp after Service.
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Voltage
Verified by:
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