Title Page
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Conducted on
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Client
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Prepared by
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Location
Condenser #1
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Make
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Model
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Voltage
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Refrigerant type
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Minimum amp fuse/maximum amp fuse
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Check and adjust thermostat
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Condition of condenser coil
- Good
- Fair
- Poor
- Preventative maintenance recommended
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Condenser fan motor amps
- Good
- Fair
- Poor
- Preventative maintenance recommended
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Compressor Amps
- Good
- Fair
- Poor
- Preventative maintenance recommended
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Refrigerant levels & pressure
- Good
- Fair
- Poor
- Preventative maintenance recommended
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Inspect wiring, Contactor, Capacitor & Relays
- Good
- Fair
- Poor
- Preventative maintenance recommended
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Inspect and test outdoor disconnect
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Outdoor suction line insulation
- Good
- Fair
- Poor
- Preventative maintenance recommended
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All panels secured
Condenser #2
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Make
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Model
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voltage
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Refrigerant type
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Minimum circuit amp fuse / maximum amp fuse
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Check and adjust thermostat
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Condition of condenser coil
- Good
- Fair
- Poor
- Preventative maintenance recommended
-
Condenser fan motor amps
- Good
- Fair
- Poor
- Preventative maintenance recommended
-
Compressor amps
- Good
- Fair
- Poor
- Preventative maintenance recommended
-
Refrigerant levels and pressure
- Good
- Fair
- Poor
- Preventative maintenance recommended
-
Inspect wiring, Contactor, Capacitor and Relays
- Good
- Fair
- Poor
- Preventative maintenance recommended
-
Inspect and test outdoor disconnect
-
Outdoor suction line insulation
- Good
- Fair
- Poor
- Preventative maintenance recommended
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All panels secured
Furnace 1
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Make
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Model
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voltage
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Natural gas
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Inspect filter
- Good
- Fair
- Poor
- Preventative maintenance recommended
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Furnace condition
- Good
- Fair
- Poor
- Preventative maintenance recommended
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Check for gas leaks
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Test Heater
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Check electrical in furnace
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Check Air to fuel ratio for burners
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Check plenum return and supply
- Good
- Fair
- Poor
- Preventative maintenance recommended
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Inspect secondary pan
- Good
- Fair
- Poor
- Preventative maintenance recommended
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Inspect evaporator cabinet for oil stains
- Good
- Fair
- Poor
- Preventative maintenance recommended
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condition of installation
- Good
- Fair
- Poor
- Preventative maintenance recommended
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Duct leak’s
Furnace #2
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Make
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Model
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Voltage
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Natural Gas
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inspect filter
- Good
- Fair
- Poor
- Preventative maintenance recommended
-
Furnace condition
- Good
- Fair
- Poor
- Preventative maintenance recommended
-
Check For gas leaks
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Test heater
-
Check electrical in furnace
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Check air to fuel mixture
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Check return plenum and supply
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Inspect secondary pan
- Good
- Fair
- Poor
- Preventative maintenance recommended
-
Inspect evaporator cabinet for oil stains
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Condition of installation
- Good
- Fair
- Poor
- Preventative maintenance recommended
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Duct leaks
