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CHECK LIST QUANTITY ITEM OR PART DESCRIPTIONAMOUNT SUPERIOR <br /> ❑ COMPR HEATING & COOLING MGT., INC. 165679 i <br /> ❑SUCTION •PSI ` O <br /> ❑HFJ1D PSI PINELLAS 571-4299-HILLSBOROUGH 854-3449 <br /> ❑VOLTS � AMPS <br /> ❑VO IC CONN DNS ZEPH. 783-7509 POLK 688-1823 A A <br /> ❑OIL <br /> C; N . CORPORATE OFFICE 1-800-640-8634 <br /> ❑OIL LEyyy��� O OATrORDERED / <br /> ❑ CONDwoo"I <br /> ❑CLEANMICKFINCOND. • DATE SCHEOULE% <br /> ❑ENTG -F <br /> ❑ RF�RIGERANT sTRE <br /> FJIK ❑CHARGE //���� <br /> ❑ FAN AND MOTOR VT ATE nP WK.PHONE <br /> ❑VOLTS <br /> ❑ 1 NNEOTIONS MAKE M EL SERIALNUMBER ❑WARRANTY <br /> ❑ HT'a CLEAN ❑CONTRACT <br /> ❑F PU (ADJUST BELT) O� O ❑SERVICE CONTRACT <br /> ❑CHECK,LUB BEARINGS&MOTOR ❑NORMAL <br /> ❑ EVAPORATOXy <br /> OI JOB ❑RES. ❑COMM. <br /> ❑ FTEr <br /> LOCATION ❑ <br /> ❑ —F AL DESCRIPTION OF WO K <br /> ❑ <br /> ❑ C EAS <br /> ❑ DRAIN PAN STATE CERTIFICATION # CAC1$17 72 <br /> 01 DRAIN <br /> ❑AIR <br /> ❑CLEANN REPLACED <br /> FIL 8 <br /> ❑ HEATING ASSY.. <br /> ❑BURNER&HEAT EXCHANGER <br /> ❑FUEL SUPPLY&P SURE <br /> ❑PILO <br /> ❑F TMENT <br /> ❑ 1 Y A FLUE , <br /> ❑ LI CH OPER. <br /> ❑BLOWER ASSEMBLY TOTAL PARTS •, • ' Cif <br /> ❑RV VALVE <br /> ❑STRIP HEAT C WRITE OR CODE AMOUNT <br /> ❑DEFROSTCYC%. PARTSWARRANTY A $ <br /> ❑ ELET IC COMPTS. All parts as recorded an warranted as per manuteeturer GE ❑ Check✓box to authorize Superior Heating&Cooling Mgmt.,Inc to <br /> ❑ CONTACTORS SP--D— 8 Continue to call me for my regular air conditioning needs. <br /> LABOR GUARANTY <br /> ❑ RFSS.SWITCH The labor charge as recorded here relative to the F TECH REGULAR v HRS. OVERTIME <br /> ❑TH AT equiproad ssrvlad n romd ts guaranteed 1°r°psrled of R l/i l HRS.® MR.= R ® /HR._ <br /> ❑ ❑REPLACE 30days. Y REFER MACH,USAGE • TEC REGULAR T HRS. OVERTIME <br /> ❑ E We do not,of course,guaranty otMr parts than thou we ' HRS.0 /HR.= E a MR._ <br /> TRAVELTIME supply.If repairs Isar become necessary due to other E p2 E CERT.M rani. <br /> delacdvsperb,tMywlebschsrpsd•spaw". C TOTAL TECHNICIANOTHRM <br /> V/ OTHER CHARGES S SIGNATURE CHAn4U <br /> TIME <br /> ARRIVED ENVIRONMENT CHECK LIST • •• • • SUB- <br /> TYPE SYSTEM $ CHANGED - TOTAL <br /> TIME CHRO. E 1 HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO <br /> DEPARTED CODE a OUT(OR ❑ ❑ ORDER AS OUTLINED ABOVE.IT IS AGREED THATTHE SELLER WILL <br /> R REFRIG. QTY. U REPLACED)? YES NO RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL <br /> TRAVEL <br /> E ❑ ❑ g I DIS• ❑ ❑ FINAL&COMPLETE PAYMENT IS MADE,AND IF SETTLEMENT IS NOT TRIP <br /> P O RECOVERED? YEs NO QTY w P MANTLED? MADE AS AGREED,THE SELLER SHALL HAVE THE RIGHTTO REMOVE CHARGE <br /> MILEAGE M YES NO SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY <br /> R E REFRIGERANT DISPOSAL DAMAGES RESULTING FROM THE REMOVAL THEREOF. TAX <br /> ENDING Q RECYCLED? F 010� r IN <br /> T <br /> 1 w <br /> START— OUR PERSONNEL Y <br /> G 3Q RECLAIMED? QTY. 3 RECOMMEND: �,/////��}�\TOTALMILEs E THISSY TEM? w • �'J�/ /( .09 <br /> R THIS SYSTEM? I� LLL��JJJ QTY. (' a �7` `//)vim <br /> YES NO O 6��/// <br /> X MR.= A (3)LNELABLE <br /> AU ORIZED TURE s <br /> N ❑ ❑ OWNER'S INITIALS ABOVE ORDERED WO AS BEEN COMPL E ECEI OF MY COPY OATS <br /> X /ML= ACCEPTED DECLINED H� <br /> TRIP @ T YES NO QTY. / / E <br /> CHARGE @ OO <br />