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Service Ticket

Url

Date

Technician No.

Reason For Today’s Call:

Work Complete

Work Complete Work InComplete Outstanding Proposal

Reasons

Service, Res Service, Comm Comm Agreement U.S.A. MC Call Back Warranty Extended Warranty Other Installation IAQ

Time Dispatched

Arrival Time

Time Completed

Type

Age

Brand

Model #

Serial #

Type

Age

Brand

Model #

Serial #

Work Performed:

Cleaned O.D. Coil

Checked Coils

Checked Refrigerant Chg.

Checked Belts

Checked Motors

Amp Check

Volt Check

Checked Thermostat Ant. Set

Checked Air Filter

Changed Air Filter

Cleaned I.D. Coil

Checked for Ref. Leaks

Checked Pulleys

Lubricate Motor/Bearings

Checked Safery Controls

Checked Electrical Connections

Checked Heat Exch.

Adjusted Refrigerent Chg.

Vacuum Burners

Replace Thermocouple

Checked Pilot

O.D.

I.D.

Subcool

Superheat

RA

SA

T

SL

DL

Head PSIG

Suction PSIG

Thermostat Ant. Set

Checked Pilot

O.D.

I.D.

Subcool

Superheat

RA

SA

T

SL

DL

Head PSIG

Suction PSIG

Ticket #

Cust #

P.O.#

Customer Name

Address

City/State/Zip

H Phone

Bill To

Address

City/State/Zip

W. Phone

Number of Equipment

1 2 3 4 5

Qty

Repair Code

Description

Price

Description of Work Performed:

Technician Recommendations

Environmental Performance

Lbs. Refrigerant Recovered

Lgs. Refrigerant Installed

DECLINED

Service Valves in use

Yes No

Customer Advised of Leaks

Yes No

ALL WORK IS COD - Please Pay Techinican

SERVICE & DIAGNOSTIC

OTHER

SUBTOTAL

SALES TAX

AMOUNT DUE $

PAID BY

Cash Credit Card Check #

Authorization Signature

I hereby acknowledge the satisfactory completion of the above described work.

Tech’s Signature

Customer's Email

Office Hours: Mon-Fri 9:00am - 6:00pm

About Us

We have built a reputation of being accurate, dependable and timely. We stand behind all our work!
>> Completion Forms

LIC. # TACLB18535E

Contact us

101 N. Greenville Ave., Suite 608
Allen TX 75002
(972) 808-9696
info@centralmechanicaldfw.com

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