Specifications

U-5 IOM 19

Job Name ____________________________________________ Date ________________________________

Address ___________________________________________________________________________________

__________________________________________________________________________________________

Phone ______________________________________________ Unit No. _____________________________

Nameplate Data

Make _____________________________________________________________________________________

Model ______________________________________________ Serial No. ____________________________

R-22 Factory Charge_____oz.

Compressor RLA _____________________ LRA _____________________ Blower FLA __________________

Maximum Current Rating of Supply Circuit ______amps

Minimum Circuit Activity______amps

Branch Circuit Selection Current______amps

Running Conditions

HEAT COOL HEAT COOL

Entering Air __________F ___________F Leaving Air ___________F___________F __________cfm

Entering Water________F ___________F Leaving Water_________F___________F _________GPM

Discharge___________PSI _________PSI Suction _____________PSI__________PSI

Discharge____________F ___________F Suction______________ F ___________F

Blower____________amps ________amps Superheat____________ F ___________F

Compressor__________ F ___________F

Auxiliary Heat

Make _______________________________________________ Model _______________________________

Serial No. ____________________________________________ Maximum Fuse ____________________amps

Entering Air_________F Leaving Air_________F

Comments _________________________________________________________________________________

__________________________________________________________________________________________

Form HP/COS-02 SAVE THIS FORM FOR MAINTENANCE REFERENCE .

Heat pump check-out sheet