Company*

Startup Date*

City*

Province*AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territories

Technicians Name*

Company*

Address*

City*

Province*AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territories

Postal Code*

Email Address*

Compressor Model*

Serial Number*

Compressor Room Temperature (C)?*

Description of compressor location:*

How much distance around compressor (back,sides,front,above)?*

Intake Ducting - Length & Dimensions (if applicable)?

Exhaust Ducting - Length & Dimensions (if applicable)?

Number of air receivers?*

Size(s) of air receivers?

Diameter and length of air piping from unit to air receiver?

Diameter of air piping from air receiver to shop?

Model number of refrigerated dryer?

Serial number of refrigerated dryer?

Size of air piping to refrigerated dryer inlet?

Size of air piping to refrigerated dryer outlet?

Grade of in-line filters?

Amp service available to unit (amps)?*

Which is utilized, a disconnect or breaker?*

What is the size of the disconnect or breaker (amps)?*

If it is a disconnect, type of fusing?

If it is a disconnect, what is the size (amps)?

Size and length of wiring to unit?*

Is the motor rotation correct?*

What is the voltage measured at the compressor?*

What is the maximum amp draws at maximum pressure (amps)?*

Load pressure (PSI)?*

Unload pressure (PSI)?*

What is the operating temperature (C)?*

What is the voltage measured at the compressor?*

What is the maximum amp draws at maximum pressure (amps)?*

Load pressure (PSI)?*

Unload pressure (PSI)?*