Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Untitled Page
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Brand
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Type
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Model #
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Serial #
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Location Installed
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Capacity Kw
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Pipe Run Mtrs
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Pressure Test
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Vacuum
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Indoor unit cleaned
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Out door unit clean and secure
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Rubbish removed from site
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Installer Name
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Installer Signature
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Customer name
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Customer Signature