DUNHAM-BUSH STARTUP REPORT

Job Name Date

Address
Installing Contractor

Application Air Conditioning Process Cooling Ice Thermal Storage

Refrigerant Type R-134a R-22 R407c R507 Refri. Charge

Unit Model Unit Serial No.

Customer Unit No. Factory Order

Compressor Model
#1 Serial No.
#2 Serial No.
#3 Serial No.
#4 Serial No.

Compressor LRA / RLA / VOLTS Compressor MCCB Model, Rating / Serial No.
#1 / / #1 /
#2 / / #2 /
#3 / / #3 /
#4 / / #4 /

Compressor Starter Model, Rating / Serial No. Compressor Overload Model, Setting / Serial No.
#1 / #1 /
#2 / #2 /
#3 / #3 /
#4 / #4 /

Cooler Model Condenser Model

Serial No. Serial No.

Condenser Fans (Air Cooled Units only)

Fan Motor Model MCB Model, Rating
HP / RLA / Volts Starter Model, Rating
No. of Condenser Fans Overload Model, Setting

Compressor Insulation Ground Test

1 2 3 4
L1 MΩ L1 MΩ L1 MΩ L1 MΩ
L2 MΩ L2 MΩ L2 MΩ L2 MΩ
L3 MΩ L3 MΩ L3 MΩ L3 MΩ

Low Pressure Transducer Model / Serial No. /

High Pressure Transducer Model / Serial No. /
Voltage Monitor Model & Setting / Serial No. /M

Form No. DB/ST/V2000i/REV1

startup report.xls Page 1
 DETAILS OF STARTUP ENGINEER WITNESSED BY INSTALLING CONTRACTOR

SIGNATURE SIGNATURE

NAME/TITLE NAME/TITLE

COMPANY COMPANY

ADDRESS ADDRESS

CONTACT NO. CONTACT NO.

OWNER ACCEPTANCE OF STARTUP

SIGNATURE

NAME/TITLE REMINDER

COMPANY Startup Report must be accompanied

with duly completed logsheet.

ADDRESS

CONTACT NO.

Form No. DB/ST/V2000i/REV1

startup report.xls Page 4
 NOTE:
Start up report must be received no later than 10 days from start up by fax, email, or US mail to:
HVAC/R International, Inc. 836 West 18th Street, Hialeah, Florida, 33141
Tel: 305-883-0655, Fax: 305-883-4467, Email: assistant@dunhambushla.com

Model & Serial No. of other components worth noted in the Startup Report

Item Descriptions Model / Part No. Serial Number

Form No. DB/ST/V2000i/REV1

startup report.xls Page 7
 FORM NO. WS 1002A

WCFX, WXC & HXWC LOGSHEET

JOB NAME : UNIT NO.: SHEET NO.:
UNIT MODEL : COMP. MODEL:
SERIAL NO. : COMP. FLA / VOLT / HZ:
DATE :

TIME
SYSTEM TEMP. & PRESSURE

Cooler Pressure PSI

Condenser Pressure PSI
Liquid Line Pressure PSI
Suction Temp. Comp'r 1 °F
Suction Temp. Comp'r 2 °F
Suction Temp. Comp'r 3 °F
Discharge Temp. Comp'r 1 °F
Discharge Temp. Comp'r 2 °F
Discharge Temp. Comp'r 3 °F
Liquid Line Temperature °F
Suction Superheat Comp'r 1 °F
SUPERHEATS

Suction Superheat Comp'r 2 °F

Suction Superheat Comp'r 3 °F
Discharge Superheat Comp'r 1 °F
Discharge Superheat Comp'r 2 °F
Discharge Superheat Comp'r 3 °F
System Voltage V
POWER

Amperage Comp'r 1 A
Amperage Comp'r 2 A
Amperage Comp'r 3 A
Target %
CAPACITY

% FLCP Comp'r 1 %
% FLCP Comp'r 2 %
% FLCP Comp'r 3 %
Chilled Water Supply °F
COOLER

PSI
Chilled Water Return °F
PSI
Condenser Water Entering °F
COND

PSI
Condenser Water Leaving °F
PSI
Cooler Approach °F
APP.

Condenser Approach °F
Liquid Subcooling °F
Oil Level Comp'r 1 *
Oil Level Comp'r 2 *
MISC

Oil Level Comp'r 3 *

Liquid Level (BT/TL/AT) *
Noise Level (N-Normal, AN-Abnormal)
REMARKS :