CV-23 25 00 HVAC Water Treatment – Equipment Identification/Tag: ______ Location:_________________________ A) PRE-TREATMENT CHECKS Questions (See details below) % 1) 2) 3) 4) 5) Date Description of Work Performed Complete Initials YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details Piping system flushed, filled, vented and started. Piping system and associated equipment are operational. System capacity has been determined and documented. Terminal control valves are in the full-open position. MSDS sheets are submitted. Negative Responses
CV-23 25 00 – HVAC Water Treatment Equipment Identification/Tag: ______ Location:_________________________ A) PRE-TREATMENT CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 4) 5) YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details Piping system flushed, filled, vented and started. Piping system and associated equipment are operational. System capacity has been determined and documented. Terminal control valves are in the full-open position. MSDS sheets are submitted. Negative Responses