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May 10 05 08: 17a David Hegarty 2095996043 p. 4 <br /> Rr <br /> CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING(Page 1 of 7) CF-4R <br /> Protect Title e � • '0 ©S/ �5 <br /> Date <br /> o n ( r <br /> ject A dress l S B ame C- T r `dn <br /> B �contatt <br /> Telephone ' Plan Num r n_ _ <br /> 51 <br /> U 1 PCYTI^ <br /> Telephone Sample Group Number <br /> G� <br /> Cwt n7L'�' <br /> Date Sampl oase Number <br /> _�Fttm_ ITERS Provider. <br /> Street Address: O 1%j ��^�,�y city/statelzip: <br /> Copies to: Builder,BERS Provider <br /> HERS RATER 5PWLIANCE STATEMENT <br /> The house was: _923-TTcstai ❑ Approved as part of sample testing,but was not tested <br /> As the HERS tate providing diagnostic testing and field veiificationr I certify that the houses identified on this form comply <br /> wr a diagnostic ttxoed comphanCe requirements as checked on thus form. <br /> The installer has provided a copy of CF-6R(Installation Certificate. <br /> "ole Distribution system is fully ducted(i.e.,does not use building cavities as plenums or platform returns in lieu of ducts) <br /> D�Where cloth backed,rubber adhesive duct tape is installed,mastic and drawbands are used in combination with cloth <br /> backed,rubber adhesive duct tape to seal leaks at duct connections. <br /> MMUKUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT <br /> Duct Diagnostic Leakage Testing Results(Maximum 6%Duct Leakage) <br /> urcd <br /> Duct Pressurization Test Results(CFM @ 25 Pa) Mea values <br /> Test Leakage Flow in CFM <br /> If fan flow is calculated as 400chWton x number of tons enter calculated <br /> value heretr}_� <br /> If fan flow is measured enter measured value here <br /> Leakage Percentage(100 x Test Leakage/Fan Flow) <br /> Check Box for Pass or Fail(Pass=figs,or less) <br /> Pass Fail <br /> ❑THERMOSTATIC EXPANSION VALVE(TXV) `C- <br /> Z <br /> ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is <br /> provided for inspection ❑ ❑ <br /> Yes is a pass Pass Fail <br /> ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT <br /> 1 ❑Yes ❑No ACCA Manual D Design requirements have been met(rater has <br /> veridicd that actual installation matches values in CF-IR and <br /> design on plan. <br /> 2. ❑ Yes ❑No TIN is installed or Fan flow has been verified. if no TXV, <br /> verified fan flow thatches design from CF-IR_ <br /> Measured Fan Flow= <br /> Yes for both 1 and 2 is a Pass pas al <br /> Compliance Forms August 2001 <br /> A-16 <br />