Sunshine 811 Preventative Maintenance Eval Form Use this for PM Evaluation CompanyDate Date Format: MM slash DD slash YYYY Time : HH MM AMPM Contact Person* First Last Authorizing Person (Owner, Manager, Supervisor)Address* Site Identification (state where the unit is located) Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Section BreakAccessibility*Steps required to physcially work on unit.Location of AH (Inside) UnitLocation of Condenser (Outside) UnitDistance Between Units*Measured Amount of feet and inches between Inside and Outside UnitConstraintsRoof PenetrationElectrical ClearanceVoltage*Air HandlerVoltageCondenserEquipmentEquipment and Tool Rental anticipated to complete installationSection BreakLoad DensityMeasurements to creat Heat Load CalculationHours Required for service*Parts List*MakeModelSerialFilter Size & QtyBelt Size & QtyCompressor QtyLocation of UnitDist. of Inside & Out Special ConsiderationAnything not listed on form but pertinent to jobFile UploadPicture, Drawings, anything pertinent to be reiviewedEmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
