AIR CONDITIONING SYSTEM JOBSITE INFORMATION SHEET

AIR CONDITIONING SYSTEM JOBSITE INFORMATION SHEET➮ OWNER:Name: _________________________________________________Street: _________________________________________________City: ____________________________ Zip: ________________State/Province: _______________________ Phone: ________________Contact: _________________________________________________➮ SERVICING CONTRACTOR:Name: _________________________________________________Street: _________________________________________________City: ____________________________ Zip: _______________State/Province: _______________________ Phone: ________________Contact: _________________________________________________➮ DATE REQUESTED: _________________________➮ REQUESTOR:____________________________________________➮ DISTRIBUTOR:Name: ___________________________________Street: ___________________________________City: _________________ Zip: ____________State/Province: ______________________________Phone: ___________________________________Contact: ___________________________________➮ EQUIPMENT DATA:OUTDOOR UNITModel #: ______________________________ Serial #:_______________________________ Date Installed: _______________EVAPORATORModel #: ______________________________ Serial #:_______________________________ Date Installed: _______________AIR HANDLERModel #: ______________________________ Serial #:_______________________________ Date Installed: _______________FURNACEModel #: ______________________________ Serial #:_______________________________ Date Installed: _______________➮ PROBLEM SUMMARY:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________➮ CORRECTIVE ACTIONS TAKEN:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________➮ ADDITIONAL INFORMATION:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________➮ ACCESSORIES? (CHECK THOSE INSTALLED):ACJS-RU❏ Low Ambient Kit❏ Compressor Time Delay❏ Mild Weather Kit❏ Crankcase Heater❏ Hard Start Kit❏ Filter-Drier❏ Compressor Sound Enclosure❏ Oil Separator❏ High Pressure Cutout❏ Low Pressure Cutout❏ Discharge Line Muffler❏ Hot Water Recovery❏ Hot Gas Bypass❏ Pump Down Kit❏ Accumulator❏ Other:______________________________________________________________________________

REMEMBER:Inside Temp. LeavingDB: __________WB: __________Indoor CoilInside Temp. EnteringDB: __________WB: __________AIR CONDITIONING JOBSITE INFORMATION SHEET1. Circle Metering device used.2. Circle Yes or No at drier locations.3. Circle Service Ports used.4. Sat. Temp. is pressure converted to Temp.Formula For Super HeatVapor LineTemp.MinusSat Temp.Formula For Sub CoolingSat Temp.Minus LiquidLine Temp.SaturationTemp.# #SaturationTemp.EqualsSuper HeatEqualsSub CoolingLow PSIG High PSIGLiquid Line Temp.Liquid Line Temp.Liquid Line Temp.LIQUID LINEDrier DrierYes or No Yes or NoMetering DeviceTXV or FixedService PortVapor Line Temp. Vapor Line Temp.Hot Gas Line Temp.Outdoor CoilOutside Temp.VAPOR LINEDrierYes or No*SEE NOTEService Port Service PortADDITIONAL INFORMATION1. Liquid Line Size: _________2. Liquid Line Length Vertical/Horizontal: _________3. Vapor Line Size: _________4. Vapor Line Length: Vertical/Horizontal: _________5. Vertical Separation Below/Above: _________6. Air Handler CFM: _________NOTE: An outVapor Line Temp.DrierYes or NoVOLTS:________AMPS:C: ______S: ______R: ______Compressor