
Maintenance Documentation
Job Information |
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Job Name:________________________________________ | Service Organization: ______________________________ | |||||||||||||||
Address: _________________________________________ | Address: _________________________________________ | |||||||||||||||
City: ________________ State: ________ Zip: __________ | City: ________________ State: ________ Zip: __________ | |||||||||||||||
Phone: __________________ Fax: ____________________ | Phone: __________________ Fax: ____________________ | |||||||||||||||
Contact Person: ___________________________________ | Work Done By: ____________________________________ | |||||||||||||||
Name Plate Information |
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Model: ___________________________________________ |
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Volts: ___________ Hertz: __________ Phase:__________ |
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Amps: __________________ Mark: ___________________ |
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Supply Hp: _______________________________________ |
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Serial Number: ____________________________________ |
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Field |
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Actual Voltage: |
| Hertz: |
| Phase: |
| Motor Voltage: |
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Actual Amperage: |
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| Motor Amperage: |
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| Fan RPM: | ||||
Blower Rotation ❏ Correct |
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Air Volume | Design |
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| CFM |
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| Actual |
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| CFM |
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Maintenance
Date
Time
Notes:
20