Information
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Customer Name
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Location
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Conducted on
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Prepared by
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Additional Technician Onsite
Inspection Items
Condition of indoor system
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Furnace Brand
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Photo Of Furnace
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Furnace Model & Serial#
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Thermostat
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Thermostat Mode
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Thermostat Setting
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Filter
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Was Filter Replaced
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Filter Size
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Blower motor
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Blower wheel
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Capacitor
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Capacitor microfarad meter reading
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Transformer
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Disconnect
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Circuit boards
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Heat Exchanger
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Safety controls/ switches
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Door switch
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Ignition control
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Gas valve
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Thermocouple
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Hot surface ignitor
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Flame Sensor Clean
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Pressure switch
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Vent pipe
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Inducer fan
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Additional Notes Or Recommendation?
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Additional Photos?
Signature
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Technician's Signature
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Technician Explained My Results