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CA Model
UNIT CHECK-OUT SHEET
Customer Data
Customer Name _____________________________________________
Address ______________________________________________________
_______________________________________________________________
Phone _______________________________________________________
Unit Nameplate Data
Unit Make _________________________________________
Model Number ____________________________________
Refrigerant Charge (oz) __________________________
Compressor: RLA ____________________
Blower Motor: FLA (or NPA) ___________
Maximum Fuse Size (Amps) ____________
Maximum Circuit Ampacity _____________
Operating Conditions
Entering / Leaving Air Temp
Entering Air Measured at:
Leaving Air Measured at:
Entering / Leaving Fluid Temp
Fluid Flow (gpm)
Compressor Volts / Amps
Blower Motor Volts / Amps
Source Fluid Type
Fluid Flow (gpm)*
Fluid Side Pressure Drop*
Suction / Discharge Pressure (psig)*
Suction / Discharge Temp*
Suction Superheat*
Entering TXV / Cap Tube Temp*
Liquid Subcooling*
* Required for Troubleshooting ONLY
Auxiliary Heat
Unit Make __________________________________
Model Number: ______________________________
Max Fuse Size (Amps) _______________________
Volts / Amps _______________________________
Entering Air Temperature _____________________
Leaving Air Temperature ______________________
CA Model
Date ___________________________________
Unit Number ___________________________
Serial Number ____________________________________
LRA ___________________________
HP ____________________________
Cooling Mode
_______________ / _____________
______________________________
______________________________
_______________ / _____________
______________________________
_______________ / _____________
_______________ / _____________
______________________________
______________________________
______________________________
_______________ / _____________
_______________ / _____________
______________________________
______________________________
______________________________
Serial Number _____________________________
Bosch
555 NW 65th Court
Fort Lauderdale, FL 33309
Phone: (954) 776-5471
Fax: (800) 776-5529
Unit Check-Out Sheet | 25
Heating Mode
_______________ / _____________
______________________________
______________________________
_______________ / _____________
______________________________
_______________ / _____________
_______________ / _____________
______________________________
______________________________
______________________________
_______________ / _____________
_______________ / _____________
______________________________
______________________________
______________________________
8733942456(2016/04)
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