— ;.4.5 3; ,>: i ti —� : Ron lerna's Heating & Cooling, Inc. i , /
<br /> 1 .. ^. a a�-..� tv_ . 5, - , 19121 US Hwv 41 North • FL 33549 f v r
<br /> Local (813) 948 -6355 • Fa 13) 949 -9266
<br /> Toll Free (866) 323 -COOL • L eland (863) 859 -0062
<br /> 1 ic 5 %) 1 e12-- 4CAC 1813676 - Qualifying #QB26202 I Bonded & Insnr
<br /> o
<br /> www.IemaAir. m "
<br /> 1 x 7 . - 0 A . No CV.F44.er- °--- 1 ? A.; R t
<br /> bc -1, .".- • r ° ,AsiM1lS.' - NAME e 14 t Ai 61I_am({ rd nu � �
<br /> )
<br /> STRE g DATE ORUCRED
<br /> , •� i tlt.�c X (..a ?q 2. � '-�3,, `- ,--- / / ,
<br /> CITY STATE Z DATE SCHEDULED
<br /> ter .95. -:;I'' 6 :.elr --- 'Z
<br /> ' +� -t.: -t .:'" °� cl. -- � / 1 _.I/f i
<br /> r /
<br /> 24 t s I � MAKE MODEL SERIAL NUMBER
<br /> _ x � . ,r - f "� 4 , {+I1,t . t :914A1A 0zsrho s4 `1 ol e l .s e
<br /> PHONE
<br /> 9,c . � -° :�rf -esr €, � f P�t� `1 - t t S- ,, .1 0
<br /> CELL PHONE
<br /> etc !€;,€ 1,4- 5t 5L0
<br /> ! SUBDIVISION r" n ❑ TECO
<br /> pyW 4. �` # 0 4 °N ) I , t4--t re+4. 0 PROGRESS
<br /> I .- ORIGINAL Leal u ; j �� ORIGINAL COMPLAINT ❑ ENERGY
<br /> LAKELAND
<br /> 4
<br /> � P � A . f1.5 1 , r \O ❑ ELECTRIC
<br /> ADDITIONAL PARTS LISTING TOTAL PARTS -} , ; 1 ❑ WITH LACOOCHEE
<br /> ON BACK OF PART 3
<br /> �, ` °' ' �' :; ❑ OTHER'
<br /> ❑ COMPRESSOR Vie• / t/2 ._ ) Z 1 , ; ; 1 DE SCR IPTION OF WORK PARTS
<br /> ❑ SUCTION 1 (DC PSI ! ITC. 1
<br /> ❑ HEAD et PSI
<br /> ❑ VOLTS AMPS i I n .-, R ,-- ; K 1 t " q
<br /> El ELECTRICAL CONNECTIONS 1 . Y'is � � ,., 'L- €e� --f`; 9. .'• , - i°-E i `4. . : .�-e. e 13 4 4 . :,., .' -'---- °
<br /> ❑ CONTACTS TIGHT & CLEAN �� , q 3
<br /> ❑ OIL LEVEL & CONDITION ; ::: /S} l-?" € _ - i' ., , t'! € :s \ �. -- t , i Ce 4`^1r'n^ y
<br /> ❑ SUPER HEAT , k L]
<br /> ❑ SUB COOLING,
<br /> ❑ LIQUID LINE TEMP. ,
<br /> ❑ SUCTION LINE TEMP.
<br /> STATIC PRESSURE POS. _ NEG.
<br /> ❑ CONDENSER COIL 11110111111 1 1 111111111111111111111111111111111111111111111111111 1
<br /> CLEAN COIL & CHECK FIN COND.
<br /> ❑ ENT •F LVG _ °F 4001M7661 SERIAL 1 1 NUMIRO DE SERIF 11 DE SERIE
<br /> ❑ REFRIGERANT PF4MNA0l6TOOABAA MFG CODE / CODE DE FAB / CODIOO DE MFG '
<br /> ❑ LEAK 0 CHARGE
<br /> ❑ FAN &MOTOR L il' '
<br /> ❑ VOLTS AMPS _ 1 I
<br /> ❑ ELE CONNECTIONS ��
<br /> ❑ CONTACTS TIGHT & CLEAN
<br /> O FAN PULLEYS (ADJUST BELT) - — H � i' ni i , if. . 1 , . i d I II 1 II , iii : I
<br /> — G CHECK LUB BEARINGS & MOTOR X11 �� 1� 1111 11� 1E 1111 111
<br /> ❑ CFM
<br /> ❑ EVAPORATOR COIL —
<br /> ❑ CLEAN COIL & CHECK FIN `0210X67401' SERIAL 01 NI ERO DE SERIE 1# DE SERIE
<br /> ❑ CONDENSATE AREAS _
<br /> ❑ INSPECT & CLEAN DRAIN PAN PH19N14024000ABAV MFG CODE / CODE DE FAB / CODIGO DE MFG
<br /> ❑ INSPECT & CLEAN DRAIN
<br /> ❑ AIR FILTERS 111 N uu rr 1 11`` 11111' 111 1IIU��
<br /> h�'��1■Iu II 1 1 NI' 1
<br /> I
<br /> ❑CLEANED ❑REPLACED
<br /> FILTER SIZE
<br /> ❑ HEATING ASSEMBLY (Ir.-1 !? 0 BURNER 8 HEAT EXCHANGER / S 1F 4C) e t ? 7 C 94 + ! Z 7 a/ fik ,f
<br /> ❑ FUEL SUPPLY & PRESSURE , } I •
<br /> ❑ PILOT ASSEMBLY PARTS WARRANTY W y & ARRIVE - S I DEPART 3 '�' ALL PARTS AS ❑ FLAME ADJUSTMENT MANUFACTURER SPECIFICATIONS
<br /> F ARE WA AS PER
<br /> ❑PRIMARY RELAY & FLUE LABOR GUARANTY : * CANCELLATIONS *
<br /> I ❑ FAN &LIMIT SWITCH OPERATOR ❑BLOWER ASSEMBLY THE LABOR CHARGE AS RECORDED ERE RELATIVE
<br /> TO THE EQUIPMENT SERVICED AS NOTED. IS GUARAN-
<br /> ❑ RV VALUE TEED FOR A PERIOD OF 30 DAYS. ALL CANCELLATIONS ARE SUBJECT TO ANY PERMIT
<br /> ❑ STRIP HEAT FEES INCURRED BY SAID COUNTY. APPLICABLE FEES
<br /> 0 DEFROST CYCLE AND LOGGED GRAIN LINES ARE NOT BREAKERS
<br /> W ARRANTY WILL BECOME THE FINANCIAL RESPONSIBILITY OF
<br /> ❑ELECTRICAL COMPONENTS ISSUES.
<br /> ❑ RELAYS ❑ CONTRACTORS PURCHASER AND /OR PROPERTY OWNER.
<br /> ❑ OVERLOAD ❑ PRESS. SWITCH WE DO NOT, OF COURSE GUARANTY OTHER PARTS
<br /> ❑ THERMOSTAT THAN THOSE WE SUPPLY IF REPAIRS LATER BECOME / t
<br /> ❑ OK ❑REPLACE NECESSARY DUE TO OTHER DEFECTIVE PARTS. TECHNICIAM ; - TECH. 52 : +c" -
<br /> ❑ RELOCATE BE CHARGED SEPARATELY. SIGNATURE t ,. i -- I / „ - 4 < .� f4J 3�,
<br /> WILL BE
<br /> EQOIPMENT QHEC1 r 1ST z - TERMS: DUE UPON COMPLETION - SUBTOTAL $ + ®,_ R
<br /> TYPE i m SYSTEM CHANGED I I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO 50 (DEPOSIT) $
<br /> ( ! P OUT (OR �. — ORDER AS OUTLINED ABOVE. IT IS AGREED THAT THE SELLER WILL
<br /> Z +^
<br /> REFRIG - QTY. REPLACED) vE RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL
<br /> DISMANTLED? 14( FINAL & COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT TAX
<br /> R RECOVERED? Y HO QTY. YES No MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO REMOVE
<br /> E I r . REFRIGERANT DISPOSAL SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES TRIP
<br /> ' RECYCLED? YES NO QIY - - -- -- . R . ESULTi.o . FRROM THE REMOVAL NOT RECEIVED I CHARGE $
<br /> R ( ■ f ' OUR PERSONNEL RECOMMEND: — UNPAID BALANCE. RETURNED CHECKS SUBJECT TO ALL APPLICABLE C/C FEE
<br /> I FEES.
<br /> G RECLAIMED? YES NO QTY. I +3°/-
<br /> R 1 1 1 1 :., 1 .4 -- / ;�' x{ . ",/
<br /> RETURNED TO /4 ,s „ '''.1 A THIS SYSTEM? YES No QTY. f • " ^ € ”' X •° � ') t '•P gE ' Li, ^✓ J }" .. $ o ff ,_ / f
<br /> N AUTORQED SIGNATURE S "` i
<br /> T DISPOSAL
<br /> OWNER'S INITIALS ABO DERED WORTS ,HAS BEEN COMPTED AND I ACKNOWLEDGE RECEIPT OF MY COPY.
<br /> NON USABLE YES NO QTY. J . AECE� I DECLINED � 13.a / _ #
<br /> DISPOSAL _ `( y l"' ! X s - l;, e'- .= ,^t^p' I 4.r , /
<br />
|