PRELIMINARY EQUIPMENT ENERGY AUDIT WORKSHEET

CUSTOMER GENERATED ENERGY AUDIT WORKSHEET: COMPANY INFORATION: COMPANY NAME:_________________________________ CONTACT: _________________________ STREET: _______________________________ CITY: _______________________ ZIP:_____________ PHONE: _______________________ FAX:________________________EMAIL: ___________________ CONTACT COMPLETING THIS AUDIT: ______________________________________________________________________________________ PHONE: ____________________FAX:_____________________EMAIL:__________________________ *IF EVALUATING MULTIPLE, INDIVIDUAL PIECES OF EXHAUST EQUIPMENT, PLEASE COMPLETE INDIVIDUAL FORMS FOR EACH. COMPLETE ONE EVALUATION FOR EXHAUST SYSTEMS THAT HAVE MULTIPLE PIECES OF EQUIPMENT LINKED TO ONE DUCTWORK SOURCE. SECTION A: EQUIPMENT 1) Make of filtration equipment: ______________________________________________________________________ Model# of filtration equipment: Average hours of equipment operation: ______________________________________________________________________ Equipment cleaning cycle: Filter Age: ______________ Location of equipment (circle appropriate) : Indoor Outdoor Rooftop Ground Level **Digital pictures of the location of equipment within the facility (i.e. rooftop, ground level, location in relation to the building and other businesses) will help us determine if the location is accessible for installation as well as determine if sound abatement accessories will be ...