This sheet must be completely filled out and filed out with the Atlas Original Service Department

Iq immediately
following the start-up of any Atlas Original Helical Screw Compressor
Distributor ___________________________ Customer _____________________________
Address ___________________________ Address _____________________________
City. State ___________________________ City. State_____________________________
Sales ___________________________ Personal Contacted _____________________
Unit Data : Unit S/N _____________________________
Compressor Model No. _________________

Drive Motor Manufacture_______________________ Drive Motor Starter Manufacture ________________

Model No ___________ S/N ____________________
Voltage _________ Service Factor ______________
Full Load Amps ______________
Compressor Controls :
Cont Run _________ Auto/Dual ________________
Auto/Demand ___________ Other _______________
Starter Type _________________________________
Remote Mounted _______Yes _______ No
Customer Supplied_______Yes _______ No
Safety Valve(S) Setting ______________________
Lubricant Manufacturer ________________________
Lubricant Type/Name _____________________

Operational Data-Note : All Data taken at Maximam load and maximum temperature
Complete Applicable Categories
Drive Coupling alignment—angular (face) _________ Parallel (O.D) ____________
Drive Motor—-voltages W1_______ Amperage W1_________
U1_______ U1_________
V1_______ V1__________

Pressure Switch PSIG Cut in ________ cut out ________ Belt Tension checked _____________
Timer setting -Minutes ________________ Full load operation PSIG _______________
Ambientroom temperature ___________________ Oil injection Temp ___________ Disc.Temp___________
Water Cooled Units—Water source _________ Supply Temp _______ Supply PSIG ____________________
Parts List Enclosed __________________ Instruction Manual Enclosed ____________________
High Air Temperature Tested Yes( ) No( ) Shutdown Temperature __________________

Installation
Type of Facility _______________________________________________
Ventilation Poor ________ Fair _________ Good _________
Adequate access space around unit (3-4 fit) ________ Yes ________ No
Excepted Ambient Temperatures ________ Minimum _________ Maximum
Additional Comments:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Problem Noted: ____________________________________________________________________________________
I certify this compressor has been property checked out according to the appropriate service procedures. Following-up
work that maybe required is planned. Safety and maintenance instructions have been explained to the customer.
Service Technician (Distributor) ___________ Date_____________
CustomerAtlas _______________ Date____________ Title ______________________
Original Co.,Ltd Bab_Alsheikh/Baghdad/Iraq Tel: 07717393190 E: Sales@atlasoriginal-iq.com
Phone _______________ (Customer signature/phone is mandatory!)