Title Page
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Prepared On
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Prepared by
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Park/Location Name
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Park Physical Address
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County Park is in
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Park Manager or Point of Contact
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POC or Park Phone Number
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Location
Location/Name of Unit
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Building Name HVAC is Located
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Approximate Square Footage of Building
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Is this a Residence
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Did current system seem to be adequate to provide comfortable conditions
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what negative condition was present
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Are there multiple units?
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HVAC Unit # or Name
New Unit Expectations
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Possible Like for Like Replacement?
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New Unit Request - SEER Rating
Outside Unit (Condensing Unit)
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Current system uses what type of Freon
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New refrigerant lines will be required - add pictures of current line routing
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Will new refrigerant lines be required - if so provide pictures of current line routing
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take pictures of current refrigeration lines showing there route
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Outside Unit Picture
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Outside Unit - Nameplate Picture
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Outside Unit - Disconnect Picture
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Outside Unit - Condenser Pad
Inside Unit (Inside Blower Unit - Evaporator)
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Inside Unit Picture
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Current KW Rating
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Current BTU Rating
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Current BTU Rating
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Inside Unit - Disconnect Picture
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Inside Unit - Nameplate Picture
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Is the Unit in the Attic
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Is there sufficient room to deliver and install new unit. Provide pictures.
Electrical Panel
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Electrical Panel Picture
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Electrical Panel - Outside Unit Circuit Breaker Picture
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Electrical Panel - Inside Unit Circuit Breaker Picture
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Electrical Panel - Circuit Labeling Picture
Thermostat
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Thermostat - provide picture
Condensation Drain Line
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Condensation Drain Line
Blower Unit Filter/Filter Rack
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Is there an external filter rack?
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Is this a 2" or 4" pleated filter style?
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What size of filter fits?
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Should we require the contractor to provide a case of filters
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Should/Can we changed out to a pleated style filter rack
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Should we require contractor to provide a case of filters
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Should/Can we change out to a 2or 4 inch pleated filter rack
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We would need to identify new rack location and require blower unit closet to be completely sealed - please provide pictures of proposed areas of impact
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Should Contractor provide a case of filters
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Should contractor provide a case of filters
Duct Work
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Condition of current duct and grill
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Does current duct/grill work require cleaning
Additional Needs and/or Request
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Describe additional needs and or request -- add pictures as needed
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Add pictures as needed
