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
❏ Compressor Time Delay
❏ Mild Weather Kit
❏ Crankcase Heater
❏ Hard Start Kit
❏ Filter-Drier
❏ Compressor Sound Enclosure
ACJS-RU
❏ Oil Separator
❏ High Pressure Cutout
❏ Low Pressure Cutout
❏ Discharge Line Muffler
❏ Hot Water Recovery
❏ Hot Gas Bypass
❏ Pump Down Kit
❏ Accumulator
❏ Other:
__________________________
__________________________
__________________________
 AIR CONDITIONING JOBSITE INFORMATION SHEET
1. Circle Metering device used. Formula For Super Heat Formula For Sub Cooling
REMEMBER: 2.
3.
Circle Yes or No at drier locations.
Circle Service Ports used.
Vapor Line
Temp.
Sat Temp.
4. Sat. Temp. is pressure converted to Temp.
Minus Minus Liquid
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: __________
ADDITIONAL INFORMATION
Vapor Line Temp.
WB: __________
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. Air Handler CFM: _________ Yes or No
Compressor
NOTE: An out