Start Form - Daikin Enfinity VFC Installation And Maintenance Manual

Water Source Heat Pump Equipment Check, Test and Start Form
This form must be completed and submitted within ten (10) days of start-up to comply with the terms of the Daikin warranty. Forms should
be returned to Daikin Warranty Department.
Job Name _ ________________________________________________________ Check, Test & Start Date ________________
City or Town __________________________________________ State _________________________ Zip ________________
Who is Performing CTS _____________________________________
General Contractor _________________________________________
Essential Items Check of System – Note: "No" answers below require notice to installer by memorandum (attached copy.)
A. Voltage Check _ _________ Volts
B. Yes No Condition
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Loop Water Flushed Clean _________________________________________________________________
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Closed Type Cooling Tower _ ________________________________________________________________
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Water Flow Rate to Heat Pump Balanced _ _____________________________________________________
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Standby Pump Installed ___________________________________________________________________
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System Controls Functioning _______________________________________________________________
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Outdoor Portion of Water System Freeze Protected ______________________________________________
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Loop System Free of Air ___________________________________________________________________
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Filters Clean ____________________________________________________________________________
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Condensate Traps Installed _ ________________________________________________________________
Note: "No" answers below require notice to installer by memorandum (attached copy.)
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Outdoor Air to Heat Pumps: ________________________________________________________________
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Other Conditions Found: ___________________________________________________________________
Please include any suggestions or comments for Daikin Applied: ___________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Above System is in Proper Working Order
Note: This form must be filled out and sent to the warranty administrator
before any service money can be released.
Signature for Sales Representative
Signature for Customer
www .DaikinApplied .com
Installation Data
Essential Items Check
Loop Temp. ___________ °F Heating
Set For ___________ °F Cooling
Date
39
Equipment Type (Check all that apply)
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Closed Loop Open Loop
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Geothermal Other (specify)______________
System Water P.H. Levels __________
Comments
For Internal Use
Release:
SM ________________________
CTS ________________________
T ________________________
Service Manager Approval
Form WS-CTS-00.01 (Rev. 4/14)
Enfinity Vertical Water Source Heat Pumps • IM 930-6
Date