2020 EUC I/O/OO TEST

-THE OFFICIAL iPERMIT-

TEST IN / TEST OUT & TEST OUT ONLY FORM
TECHNICIAN
CONTRACTOR

Other
TEST TYPE
- CUSTOMER NAME
  
  First NameLast Name
- CUSTOMER ADDRESS
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- TEST IN DATE
  
  MonthDayYear
- TEST OUT DATE
  
  MonthDayYear
- SPLIT OR PACKAGE?
- SQUARE FT
- BEDROOMS
- BATHROOMS
- YEAR BUILT
- STORIES
- INSIDE TEMP
  F°
- OUTSIDE TEMP
  F°
- OCCUPANTS
- # OF SMOKE DETECTORS
- # OF CO DETECTORS
- AVG CEILING HEIGHT
- ASBESTOS?
- ASBESTOS NOTES
- GAS LEAKS?
- GAS LEAK NOTES
- FLEX LINE PRE 1973?
- FLEX LINE NOTES
- GAS METER CLEARANCE?
- GAS METER NOTES
- FIRE HAZARDS?
- FIRE HAZARDS NOTES
- COMBUSTION APPLIANCES VENTING PROPERLY?
- COMBUSTION APPLIANCE VENTILATION NOTES
- MOISTURE / AIR QUALITY ISSUES?
- MOISTURE / AIR NOTES
- DID ALL TESTS (EXCEPT HEATING SYSTEM) PASS?
- NOTES
- TESTS PERFORMED
- TEST IN PERFORMED
- CAZ 1 - DESCRIPTION
- CAZ 1 - AMBIENT CO (PPM)
- CAZ 1 - FINAL NET DEPRESSURIZATION
- CAZ 1 - CVA PASS OR FAIL?
- CAZ 1 - NOTES
- SHOW CAZ 2?
- CAZ 2 - DESCRIPTION
- CAZ 2 - AMBIENT CO (PPM)
- CAZ 2 - FINAL NET DEPRESSURIZATION
- CAZ 2 - CVA PASS OR FAIL?
- CAZ 2 - NOTES
- SHOW CAZ 3?
- CAZ 3 - DESCRIPTION
- CAZ 3 - AMBIENT CO (PPM)
- CAZ 3 - FINAL NET DEPRESSURIZATION
- CAZ 3 - CVA PASS OR FAIL?
- CAZ 3 - NOTES
- SHOW CAZ 4?
- CAZ 4 - DESCRIPTION
- CAZ 4 - AMBIENT CO (PPM)
- CAZ 4 - FINAL NET DEPRESSURIZATION
- CAZ 4 - CVA PASS OR FAIL?
- CAZ 4 - NOTES
- WH1 - MAKE
- WH1 - MODEL
- WH1 - SERIAL#
- WH1 KBTU
  KBTUH
- WATER HEATER - LOCATION
- WH - NATURAL?
- WH - UNDILUTED CO (PPM)
- WH - UNDILUTED CO (PPM)
- WH - CO NOTES
- IS IT CLAIMED?
- SHOW WATER HEATER 2
- WH2 - MAKE
- WH2 - MODEL
- WH2 - SERIAL#
- WH2 KBTU
  KBTUH
- WATER HEATER 2 - LOCATION
- WH2 - NATURAL?
- WH2 - UNDILUTED CO (PPM)
- WH2 - UNDILUTED CO (PPM)
- WH2 - CO NOTES
- IS IT CLAIMED?
- HEATING SYSTEM - LOCATION
- HEAT - NATURAL?
- HEAT - UNDILUTED CO (PPM)
- HEAT - UNDILUTED CO (PPM)
- HEAT - CO NOTES
- SHOW HEATING SYS 2?
- HEATING SYSTEM 2 - LOCATION
- HEAT 2 - NATURAL?
- HEAT 2 - UNDILUTED CO (PPM)
- HEAT 2 - UNDILUTED CO (PPM)
- HEAT 2 - CO - NOTES
- SHOW HEATING SYS 3?
- HEATING SYSTEM 3 - LOCATION
- HEAT 3 - NATURAL?
- HEAT 3 - UNDILUTED CO (PPM)
- HEAT 3 - UNDILUTED CO (PPM)
- HEAT 3 - CO - NOTES
- FIREPLACE - LOCATION
- FIREPLACE
- FIREPLACE - NOTES
- SHOW FIREPLACE 2?
- FIREPLACE 2 - LOCATION
- FIREPLACE 2
- FIREPLACE 2 - NOTES
- SHOW FIREPLACE 3?
- FIREPLACE 3 - LOCATION
- FIREPLACE 3
- FIREPLACE 3 - NOTES
- OVEN - APPLIANCE CO
- OVEN - APPLIANCE CO
- OVEN NOTES
- OVEN - AMBIENT CO
- OVEN - AMBIENT CO
- OVEN CO NOTES
- RANGE - APPLIANCE CO
- RANGE - APPLIANCE CO
- RANGE NOTES
- RANGE - AMBIENT CO
- RANGE - AMBIENT CO
- RANGE CO NOTES
- OTHER - DESCRIPTION
- OTHER - APPLIANCE CO
- OTHER - APPLIANCE CO
- OTHER NOTES
- OTHER - AMBIENT CO
- OTHER - AMBIENT CO
- OTHER CO NOTES
- SHOW OTHER 2?
- OTHER 2 - DESCRIPTION
- OTHER 2 - APPLIANCE CO
- OTHER 2 - APPLIANCE CO
- OTHER 2 NOTES
- OTHER 2 - AMBIENT CO
- OTHER 2 - AMBIENT CO
- OTHER 2 CO NOTES
- CHOOSE TESTS TO PERFORM
- TEST OUT PERFORMED
- HEATING MAKE:
  
  Other
- MODEL#
- SERIAL#
- BTU's (OUTPUT)
  kBTU
- EFFICIENCY:
  %
- COND. MAKE:
  
  Other
- MODEL#
- SERIAL#
- TONS:
- SEER:
- INSULATION ADDED?
- R VALUE?
- DUCTS INSTALLED?
- R VALUE?
- DUCT NOTES
- METHOD:
- COOLING
- UNIT SIZE (TONS)
- ACTUAL LEAKAGE
  CFM
- TOTAL PERCENT LEAKAGE
- HEATING
- HEAT OUTPUT (kBtu):
  kBtu
- ACTUAL LEAKAGE
  CFM
- TOTAL PERCENT LEAKAGE
- PASS OR FAIL?
- NOTES
- AIRFLOW
- MINIMUM AIRFLOW RATE
- REQUIRED MIN AIRFLOW (300)
  (300 X TONS)
- REQUIRED MIN AIRFLOW (350)
  (350 X TONS)
- ACTUAL AIRFLOW
  CFM
- FAN WATTS
  WATTS
- REFRIGERANT CHARGE
- IS TXV INSTALLED?
- MAH @ RETURN?
- MAH @ SUPPLY?
- REF. TYPE:
- ___________________________________________________________________________
- ① RETURN DB
- ① RETURN DB
- ① RETURN DB
- ② T COND, DB
- ③ T LIQUID
  LLT
- ④ P LIQUID (R)
- ⑤ T COND, SAT
  LSAT
- ⑥ ACTUAL SUBCOOL ⑤-③
- ⑦ TARGET SUBCOOL
- ⑧ T SUCTION
  SLT
- ⑨ P SUCTION (L)
- ⑩ T EVAP, SAT
  VSAT
- ⑪ ACTUAL SUPERHEAT ⑧-⑩
- ① RETURN DB
- ② T COND, DB
- ③ T RETURN DB
- ④ T RETURN WB
- ⑤ T SUCTION
  [T1]
- ⑥ P SUCTION (L)
- ⑦ T EVAP, SAT
  [VSAT]
- ⑧ ACTUAL SUPERHEAT ⑤-⑦
- ⑨ TARGET SUPERHEAT
- CFM50
- BLOWER PASS?
- BLOWER NOTES:
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- NOTES
- RECOMMENDATIONS
- REQUIREMENTS
- WAS HOMEOWNER NOTIFIED OF CORRECTIONS?
- DID YOU COLLECT $?
- AMOUNT COLLECTED
- ENSURE YOU HAVE FILLED IN EVERYTHING CORRECTLY BEFORE CLICKING THE SUBMIT BUTTON
- eucresults@ipermiteraters.com
  eucresults@ipermiteraters.com
- Should be Empty:

COOLING

HEATING

AIRFLOW

REFRIGERANT CHARGE