Title Page
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Site
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Conducted on
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Prepared by
FCU / AHU Details
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Location of unit
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Unit Reference
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Unit Make
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Model Number
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Serial Number
Service Details
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Fans Operational
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Filters Cleaned
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Evaporator Coil Cleaned
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Picture of coil before
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Picture of coil after
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Condensate Pumps / Drainage Tested
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Drip Tray Cleaned
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Fan Scroll Cleaned
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Unit Fascia Cleaned
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Belts & Pulley Condition
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Air OFF Coil Temperature
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Temperature off picture
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Air ON Coil Temperature
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Temperature on picture
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Unit Set Point
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Unit set point picture
Filters
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Date of filter change/clean
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Type and size of filter
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Picture of filter before
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Picture of filter after
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Description of any issues
