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EPA Building Air Quality Guide-1991

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Indoor Air Quality Forms 208 Building: _________________________________________________________ File Number: ________________________________ Completed by: __________________________________ Title: _____________________________ Date Checked: _____________ HVAC Checklist - Long Form Needs Attention Not Applicable OK Component Comments Page 14 of 14 PM (Preventive Maintenance) schedule available? PM followed? Boilers Flues, breeching tight? Purge cycle working? Door gaskets tight? Fuel system tight, no leaks? Combustion air: at least 1 square inch free area per 2000 Btu input? Cooling Tower Sump clean? No leaks, no overflow? Eliminators working, no carryover? No slime or algae? Biocide treatment working? Dirt separator working? Chillers No refrigerant leaks? Purge cycle normal? Waste oil, refrigerant properly disposed of and spare refrigerant properly stored? Condensation problems? 208 Indoor Air Quality Forms

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