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May 10 05 08:116a David Hegarty 2095996043 p. 2 <br /> CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTING(Page 1 of 7) CF4R <br /> Pro*ect Title _ Dat <br /> C,4 <br /> Project dress Buil r Name <br /> _ d <br /> lderCon Telephone Plan Number rufe-- <br /> 7,67 P5 S- d <br /> HER Tel Sample Grou Number <br /> rT t <br /> CerGfyin�j guatwc Date Sample House Number. <br /> Firm: \vg, __ /1 ; �/ , �e HERS Provider: �! <br /> Street Address: '�"�1�"U20-a,- P--,nM f-d" City/Statezip: <br /> Copies to: Builder,HERS Provider <br /> HERS RATER COMPLIANCE STATEMENT <br /> The house was: Tested ❑ Approved as part of sample testing,but was not tested <br /> As the HERS rater providing diagnostic testing and field verification,I certify that the houses identified on this form comply <br /> wiffi�he diagnostic tested compliance requirements as checked on this form. <br /> The installer has provided a copy of CF-6R(Installation Certificate. <br /> C9, Disvibution system is fully ducted(i-e.,does not use building cavities as plenums or platform returns in lieu of ducts) <br /> Qy When 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 /> 0 MM[IMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT <br /> Duct Diagnostic Leakage Testing Results(Maximum 6%Duct Leakage) <br /> Measured <br /> Duct Pressurization Test Results(CFM @ 25 Pa) values <br /> Test Leakage Flow in CFM <br /> If fan flow is calculated as 400cfm/ton x number of tons enter calculated <br /> value here <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%or less) Y 0 <br /> y� Pass Fail <br /> 1/ <br /> ❑THERMOSTATIC EXPANSION VALVE(TXV) r.` 0 (t cc (0 C) <br /> `J-771y1 cl, o <br /> ❑ Yes ❑ No Thermostatic Expansion Valve is installed and Access is <br /> provided for inspection ❑ ❑ <br /> Yes is a pass Pass Fail <br /> ❑ N1UgMUM REQUIREMENTS FOR DUCT DESIGN COMPLLANCE CREDIT <br /> 1 ❑Yes ❑No ACCA Manual D Design requirements have been met(rater has <br /> verified that actual insta1}ation matches values in CF-1R and <br /> design on plan. <br /> 2. ❑Yes ❑No TXV is installed or Fan flow has been verified If no TXV, <br /> verified fan flow matches design from CF-1R. <br /> Measured Fan Flow= <br /> ❑ ❑ <br /> Yes for both 1 and 2 is a Pass Pass Fail <br /> Complianoe Forms August 2001 A-16 <br />