Title Page
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Site conducted
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Conducted on
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Prepared by
Vent Test Results
Results
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System Type
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Manufacturer of Unit
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Model No
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How many outlets
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Type of ductwork
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Location of Extract
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Measured l/s
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Type of ductwork
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Extract 1 - Location of Extract
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Measured l/s
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Extract 2 - Location of Extract
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Measured l/s
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Type of ductwork
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Extract 1 - Location of Extract
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Measured l/s
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Extract 2 - Location of Extract
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Measured l/s
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Extract 3 - Location of Extract
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Measured l/s
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Type of ductwork
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Extract 1 - Location of Extract
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Measured l/s
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Extract 2 - Location of Extract
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Measured l/s
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Extract 3 - Location of Extract
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Measured l/s
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Extract 4 - Location of Extract
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Measured l/s
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Manufacturer of Unit
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Model No
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Type of ductwork
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Location of Extract
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Measured l/s
Test Instrument
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Make
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Model
Sign off
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Result
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Test Engineer Sign off
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Client Representative