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EVAP COOLER FORM
(Please complete this form)

FROM:
Name: Date:
Company:
Address:
City:
State: Zip:
Phone: Fax: Email:
PO #:
TYPE OF SERVICE ORDERED:
Recondition (Performed Yearly)
Monthly Maintenance
Repairs Only
Winterize
Other (please describe below:)
 

LOCATION OF COOLER:
Project:
Tenant:
Contact:    
Address:
City:
State: Zip:
Phone: Fax: Email:
Cooler #:
Helpful Comments:
DESCRIPTION OF DEFECT: (CHECK ALL THAT APPLY)
Cooler blowing hot air.
Cooler does not come on.
Cooler running slower than normal.
Noisy cooler
Other (please describe below):