Forms
10. Equipment Room (continued) Does the equipment room have proper mechanical ventilation? If it is required by local code, is a self-contained breathing apparatus available?
11. Owner Awareness Has the owner been fully instructed on the proper use of refrigerant HCFC-123? Does the owner have a copy of the MSDS for refrigerant HCFC-123? Was the owner given a copy of the Refrigerant Handling Guidelines?
Note: Additional time required to properly complete the start-up and commissioning, due to any incompleteness of the of the installation, will be invoiced at prevailing rates. This is to certify that the CenTraVac chiller(s) has/have been properly and completely installed, and that the applicable items listed above have been satisfactorily completed. Checklist Completed By Signed:
Date:
In accordance with your quotation and our purchase order number __________, we will therefore require the presence of Trane service on the site, for the purpose of start-up and commissioning, by: Date: Note: Advance notification is required to allow scheduling of the start-up as close as possible to the requested date. Additional Comments/Instructions
A copy of this completed form must be submitted to the Trane Service Agency that will be responsible for the start-up of the chiller.
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CVHE-SVX02A-EN