PMCM Form-028 / Rev.

0 / 20 May 2015

PMQS CONSTRUCTION SOLUTIONS, INC.

TESTING & COMMISSIONING

COOLING TOWER

PROJECT NAME :
LOCATION :
CLIENT :

CONTRACTOR : INSTRUMENT USED :

EQUIPMENT TYPE : LOCATION OF EQUIPMENT :
DATE OF TESTING : TESTING TYPE :
INITIAL FINAL

PARTICULARS DESIGN REQT. REMARKS

1. Model number / brand

2. Serial number
3. Number of cell
4. Water floow, LPS (GPM)
5. Fan motor
5.1 Power (kw)
5.2 Volts
L1-L2
L2-L3
L3-L1
5.3 Ampere (running)
L1
L2
L3
5.4 Phase
5.5 Cycle
5.6 Drive
5.7 Enclosure
5.8 Quality
5.9 Brand
6. Related cooling capacity, Kcal/hr (tons)
7. Entering water temperature (°C)
8. Leaving water temperature (°C)
9. Entering air wet bulb temp (°C)
10. Make up water pipe size
11. Fan data
11.1 Type
11.2 Material
11.3 CFM
12. Type
13. Rated draft loss
14. Fill/Type materials
15. Operating weight (lbs)
16. Corrosion protection
17. Make up water flow rate, LPS (GPM)
18. Others, please specify
CONTRACTOR'S REPRESENTATIVE PMQS REPRESENTATIVE DESIGNER'S REPRESENTATIVE OWNER'S REPRESENTATIVE