Pre-Lease HVAC Equipment Survey

Please fill out forms in its entirety. There is an option to save and continue later if you need to use it. The link to continue on your form will be emailed to the email address you input, please use that link to continue and finish the form. If you have any questions please contact us at (631) 297-9292.

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SUBMITTED TO:

Site Name

Store Number:

Store Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

SITE INFORMATION:

Name

Company Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

PERFORMED BY:

Contractor:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Engineer/Technician

Date Of Site Visit

MM slash DD slash YYYY

Ambient Temperature Day Of Visit

Quality of ductwork is good?

Yes

Total tonnage serving tenant space

Air outlets provide acceptable coverage?

Yes

Total number of units serving tenant space

Total number of VAV boxes serving proposed tenant space

Comments

Does the receiving area have a unit heater?

Yes

Is the unit in receiving dedicated to receiving only?

Yes

How many unit heaters are there in receiving?

Yes

Service problems discussed by management or facility manager

ALL repair required

Mechanical Equipment (ME) at this location and the areas they serve (You can type it using the form below or upload a document) (To add more than one click the "+" )

Mechanical Equipment (ME) Upload

Auxiliary Equipment (You can type it using the form below or upload a document) (To add more than one click the "+" )

Auxiliary Equipment Upload

Roof or equipment layout sketch (Or upload an image)

Upload roof or equipment layout

If you want a copy of this form please enter email address below.

Enter Email Confirm Email

5 Orville Drive,
Ste 100
Bohemia, NY 11716
Call Us : 1-631-297-9292

AFFILIATED COMPANIES

ProfRetail.com
RetailSecurityServices.com

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