Specifications

JOHNSON CONTROLS

Tele. 800-861-1001

www.york.com

INSTRUCTIONS FOR USE OF FORM

JOHNSON CONTROLS REGIONAL OR DISTRICT SERVICE OFFICE

1. Fill in the blanks at the top of the form.

* To: (Service Managers Name and Johnson Controls office address)

JOHNSON CONTROLS TELEPHONE NO.

JOB NAME

LOCATION

CUSTOMER ORDER NO.

JOHNSON CONTROLS ORDER NO.

JOHNSON CONTROLS CONTRACT NO.

SYSTEM MODEL NO.

2. Completely rule out or “XXXX” out items on check list that do NOT apply to this specic job.

(Review Para. A-1, A-2, D-lb, D-2, D-3, E, E-1, E-2, E-3, E-4, and E-5).

3. Fill in terms of contract at bottom of pages as to hours of supervision to be furnished and per

diem charges for additional time. (There is some room for additional terms, if applicable – travel

expenses, for instance).

4. Retain in les and copy the contractor.

NOTE: After completion of start-up, write in the date of start-up at the bottom, insert Unit Serial

Number and send to Johnson Controls A.S. Service Manager, York, PA.

CUSTOMER

This installation Checklist provides you with a quick, convenient way to check whether all of the

necessary installation work has been completed in accordance with Johnson Controls Installation

Instructions, and when completed, acts as a request for the start-up supervision to be furnished by

Johnson Controls.

Complete the form as follows:

1. In the box at the top of the page, enter Unit Serial No. (from Unit Data Plate) and date work will

be completed.

2. Check off each item as completed.

3. Item F-5 – Enter names of owner/operator’s personnel who have been assigned to be present at

time of start-up for instruction in proper operation of the YORK Millennium chiller.

4. Bottom of form – Enter date Johnson Controls Supervisor should be at job site and name(s) of

your supervisor(s) he should contact.

5. Sign the request form and return to the local Johnson Controls Service Manager. Please give

as much advance warning as possible so that we can give you the service you want, when you

want it. Thank you.

P.O. Box 1592, York, Pennsylvania USA 17405-1592 Subject to change without notice. Printed in USA

Form 160.81-CL1 (411)

Issue Date: April 15, 2011

Supersedes: 160.81-CL1 (801)