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506725-01 Page 47 of 48
Issue 1109
Contractor’s: Name______________________________________Telephone________________Checklist Completed____________________
Job Address_______________________________________________________Technician’s Name___________________________________
1
HEATING MODE
COMBUSTION SAMPLE CO
2
%
______
CO _____ PPM
2
INDOOR BLOWER AMPS ______
3
TEMPERATURE RISE
4
Supply Duct Temperature
Return Duct Temperature
_
______
Temperature Rise
TOTAL EXTERNAL STATIC
5
Supply External Static
Return External Static
Total External Static
CONDENSATE LINE
6
Leak Free
VENT PIPE
7
Leak Free
COOLING MODE
INDOOR BLOWER AMPS ______
3
TEMPERATURE DROP
Return Duct Temperature
Supply Duct Temperature
Temperature Drop
4
DRAIN LINE
8
Leak Free
THERMOSTAT
Adjusted and Programmed
Explained Operation to Owner
9
SUPPLY
AIR
Blower Motor Amps
Duct Static
Thermostat
Gas Manifold Pressure
1
2
3
4
5
6
7
8
9
Temperatures
RETURN AIR
Combustion CO
2
UNIT OPERATION
TOTAL EXTERNAL STATIC (dry coil)
Supply External Static
Return External Static
Total External Static
5
______
______
=
+
______
______
______
=
_
______
______
______
=
+
______
______
______
=
GAS MANIFOLD PRESSURE “W.C.” ______