Title Page
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Customer Name:
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Unit Address:
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Date:
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Job Number:
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Model Indoor:
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Serial Indoor:
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Model Outdoor:
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Serial Outdoor:
Work to be carried out
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Confirm correct Cooling Function
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Confirm correct Heating Function
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Check indoor and outdoor fan operation ( visual only)
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Remove indoor filters and clean
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Clean outdoor unit outer cabinet
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Check outdoor unit for signs of corrosion/rust
Service Comments / repairs required
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Service comments / repairs required:
Technicians Acknowledgement
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I/We declare the work has been carried out true to the above description, and to be of a satisfactory standard.
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Name: (Print)
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Date:
