Beruflich Dokumente
Kultur Dokumente
Project Name:
Fill in all cells of this form for each project site with a cooling equipment measure. Submit additional sheets or add rows as necessary to fully
document cooling equipment measures expected to be installed for this Project. In addition, detailed savings calculations must be submitted
with the Final Application to support this summary energy usage information. Note that this survey is designed for use with the Simplified M&V
method. If a Full M&V method is being used, additional information required by that M&V methodology must be submitted.
Pre-Retrofit Equipment
Pre-Retrofit Equipment
Cooling
Equipment ID
Room
Number*
Location
Cooling
Equipment
Type
Operating Schedule
Nameplate Data
Sequence of Operation (for chillers in a multiple
chiller plant; explain on separate sheet if
Manufacture
necessary)
r
Make/Model
Rated
Capacity
(Tons)
ARI Rated
COP
ASHRAE
90.1-1989
COP**
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
*Please list all cooling equipment identifiers in this cell if the information given is applicable to more than one unit.
**From the Standard Cooling Equipment Tables.
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FA.9
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FA.9
Sponsor Name:
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Project Name:
Post-Retrofit Equipment
Post-Retrofit Equipment
Cooling
Equipment ID
Room
Number*
Location
Cooling
Equipment
Type
Operating Schedule
Post-Installation Energy
Estimated Savings***
Consumption***
Nameplate Data
Sequence of Operation (for chillers in a multiple
chiller plant; explain on separate sheet if
Manufacture
necessary)
r
Make/Model
Rated
Capacity
(Tons)
ARI Rated
COP
Measured
Peak kW**
Measured
Annual
kWh**
Peak kW
Savings
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
10
0.0
11
0.0
12
0.0
13
0.0
14
0.0
15
0.0
16
0.0
17
0.0
18
0.0
19
*Please list all DX unit identifiers in this cell if the information given is applicable to more than one DX unit.
Total:
0.0
0.0
**Please include estimates of Measured Peak kW and Measured Annual kWh for use in the Final Application. Supporting evidence for estimates should be included with this form.
***The demand and energy use and savings calculated here are estimates only, based upon the information supplied in the table, and may differ from
actual methods used to calculated savings estimates for the measure in question. These estimates are in no way a substitute for performing the M&V
required by the program.
FA v1.0
FA.9
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