General Information

Name:

Company:

Email Address:

Phone #:

Unit Information

Installation Site Name:

Package Manufacturer:

Model Number:

Serial Number:

Site Unit Number:

What is the control voltage?

Do you want Low Ambient Lockout?

Do you want a BMS Run/Stop input?

Do you want an Emergency Stop Input?

What type of refrigerant is being used?

Other type:

Evaporator Information

Where is the Evaporator located?

What is the Evaporator type?

If other:

If a DX Chiller Barrel, what is the type?

If other:

Does it have a second expansion valve?

Does it have a Barrel Heater?

Does it have a electronic expansion valve?

Condenser  Information

Where is the Condenser located?

What is the Condenser type?

If Air Cooled, how many fan relay outputs on the circuit?

Circuit 1

Circuit 2

Circuit 3

Circuit 4

Circuit 5

Circuit 6

Circuit 7

Circuit 8

If Common Air, what is the total number of fans?

If Common Water how is it controlled?

How many pumps and fans (relay outputs required)?

Does the unit have a Frequency Drive?

If yes, is the drive on the pump or on which fans?

Compressor Information

Compressor Type:

Number of Circuits:

Number of Compressors per Circuit:

If Reciprocating Compressors, how many Unloaders per Circuit?

Comp 1

Comp 2

Comp 3

Comp 4

Comp 5

Comp 6

Comp 7

Comp 8

What is the compressor Model # and FLA?

Comp 1

Comp 2

Comp 3

Comp 4

Comp 5

Comp 6

Comp 7

Comp 8

Does the unit have hot gas bypass?

If yes, which circuits?

Does the unit have start up bypass?

Does the unit have fast unload?

Does the unit have an oil seal cooler?

Does the unit have liquid injection?

Does the unit have vapor injection?

Is there any other information we should know?