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GNQ INDUSTRIAL &

Date Prepared: ___________


CONTRACTING CORPORATION

Project:

Client Name: INSULATION TESTING REPORT


Page ____ of ____ page/s

Equipment: Packaged Chiller No. 1

Designation Model Serial G-L1 G-L2 G-L3 L1-L2 L1-L3 L2-L3 Notes
No.

Comp 1

Comp 2

Comp 3

Comp 4

Comp 5

Comp 6

Cond Fan 1

Cond Fan 2

Cond Fan 3

Cond Fan 4

Prepared by: __ Accepted for Client:

GNQ Representative Owner / Representative


(Signature of Over Printed Name) (Signature of Over Printed Name)

FCU Pre-commissioning Checklist Form-GNQ-21

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