Phone 717-545-4067 Fax 610-340-2354
Unit Installed By ________________________________________________ Date _____/ _____/ _____
Company Name
For Service Call ___________________________________________________________
Heat Pump Manufacturer _____________________________________
Model # _____________________________________
Serial # ______________________________________
Calculated Heat Loss and Heat Gain _____________________________________BTU/h
See Manufacturers Installation Manual for Spec
Outdoor Ambient Temp ______________ Degrees
Refrigerant Type _____________________________________
High Side Pressure ______________ PSIG
Low Side Pressure ______________ PSIG
Superheat ______________ Degrees
Subcooling ______________ Degrees
Blower Speed (Heat) ______________
Blower Speed (Cool) ______________
Air Filter Size _________________________________
Temperature Drop Across coil __________________ Degrees (Cooling)
Temperature Rise Across coil __________________ Degrees (Heat Pump Only)
Amount of KW Back-up __________________ (If applicable)
Calculating CFM - Check temps approx 24" from unit running in emergency heat setting.
Volts when Operating ________ Amps (Strip heat on) ________ Temp Rise __________
Volts x amps x 3.414 / Temp rise x 1.08 = CFM Should be 400 - 450 CFM per ton
Technician ______________________________________________________________
Keep for your records of installation date and original set-up information