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Plant Manufacture: (Open field)
Plant Model#: (Open field)
Compressor Manufacture: (Open field)
Compressor Model: (Open field)
INSTALLATION:
-Date: (Calendar)
-Time: (Open field)
-AM (Check box)
-PM (Check box)
-Location: (Test site dropdown)
-(Check Box) This unit IS functioning satisfactorily.
-(Check Box) This unit IS NOT functioning satisfactorily.
-Adjustment Scheduled for: (Calendar)
-Customer Representative's Signature: ________________________________
-Gulf Coast Testing Staff's Signature: _________________________________
ADJUSTMENT:
-Date: (Calendar)
-Time: (Open field)
-AM (Check box)
-PM (Check box)
-Reason for adjustment: (Open text box)
-Customer Representative's Signature: ________________________________
-Gulf Coast Testing Staff's Signature: _________________________________
REMOVAL:
-Date: (Calendar)
-Time: (Open field)
-AM (Check box)
-PM (Check box)
-Customer Representative's Signature: ________________________________
-Gulf Coast Testing Staff's Signature: _________________________________