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AIR CONDITIONING SYSTEM JOBSITE INFORMATION SHEET ➮ OWNER: ➮ DATE REQUESTED: ______Name: ______Street: ______➮ REQUESTOR: City: ______Zip: ______State/Province: ______Phone: ______Contact: ______➮ DISTRIBUTOR: Name: ______➮ SERVICING CONTRACTOR: Street: ______Name: ______Street: ______City: ______Zip: ______City: ______Zip: ______State/Province: ______State/Province: ______Phone: ______Phone: ______Contact: ______Contact: ______

➮ EQUIPMENT DATA: OUTDOOR UNIT Model #: ______Serial #:______Date Installed: ______

EVAPORATOR Model #: ______Serial #:______Date Installed: ______

AIR HANDLER Model #: ______Serial #:______Date Installed: ______

FURNACE Model #: ______Serial #:______Date Installed: ______

➮ PROBLEM SUMMARY: ______

➮ CORRECTIVE ACTIONS TAKEN: ______

➮ ADDITIONAL INFORMATION: ______

➮ ACCESSORIES? (CHECK THOSE INSTALLED): ❏ Low Ambient Kit ❏ Oil Separator ❏ Down Kit ❏ Time Delay ❏ High Cutout ❏ Accumulator ❏ Mild Weather Kit ❏ Low Pressure Cutout ❏ Other: ❏ Crankcase Heater ❏ Discharge Line Muffler ______❏ Hard Start Kit ❏ Hot Water Recovery ______❏ Filter-Drier ❏ Hot Bypass ______❏ Compressor Sound Enclosure

ACJS-RU AIR CONDITIONING JOBSITE INFORMATION SHEET

1. Circle Metering device used. Formula For Super Formula For Sub 2. Circle Yes or No at drier locations. Vapor Line Sat Temp. REMEMBER: 3. Circle Service Ports used. Temp. 4. Sat. Temp. is pressure converted to Temp. Minus Minus Sat Temp. Line Temp.

Saturation Saturation # Temp. # Temp. Equals Equals Super Heat Sub Cooling

Inside Temp. Leaving Low PSIG High PSIG DB: ______

WB: ______Liquid Line Temp. Liquid Line Temp. Liquid Line Temp.

LIQUID LINE Drier Drier Yes or No Yes or No Metering Device Service Port TXV or Fixed

Hot Gas Line Temp. Vapor Line Temp. Vapor Line Temp. Outdoor Coil

Outside Temp. VAPOR LINE Drier Yes or No Indoor Coil *SEE NOTE Service Port Service Port Inside Temp. Entering DB: ______Vapor Line Temp. WB: ______ADDITIONAL INFORMATION 1. Liquid Line Size: ______VOLTS: ______2. Liquid Line Length Vertical/Horizontal: ______AMPS: 3. Vapor Line Size: ______C: ______4. Vapor Line Length: Vertical/Horizontal: ______S: ______5. Vertical Separation Below/Above: ______Drier R: ______6. CFM: ______Yes or No Compressor NOTE: An out