Title Page
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Title
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Conducted on
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Prepared by
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Location
Outdoor Air Intake
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Bird Screen
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Air Flow Unobstructed
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No Closed-By Polluntant Sources
Mixing Plenum
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Clean
Coils and Condensate Pans
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Clean, No Corrosion
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No Odors
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No Micobial Growth
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Pans Draining, Trap Filled
Humidifiers
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Clean
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No Standing Water or Overflow
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No Micobial Growth or Mineral Deposit
Control
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Set Points
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Functioning
Fans
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Clean, No Corrosion
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No Excessive Vibration
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Belts at Correct Tightness and Not Cracked
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No Excessive Noise
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No Leakage
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Correct Pressurization
Filters
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Good General Conditions
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Installed Properly (No Bypass)
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No Odors/Visible Pollution
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Signature
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