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VTrans Material Testing Central Laboratory Berlin, VT

MECHANICAL SYSTEMS PREVENTIVE MAINTENANCE LOG BOOK

Prepared for: Prepared by: State of Vermont van Zelm Heywood & Shadford, Inc. Agency of Transportation 10 Talcott Notch Road Berlin, VT 05641 Farmington, CT 06032 Date: Project #: September 15, 2015 2014206.00

Preventive Maintenance Manual

for

Vermont Agency of Transportation

Materials Testing Central Laboratory

van Zelm Project #2014206.00

Prepared by: van Zelm Heywood & Shadford, Inc.

10 Talcott Notch Road Farmington, CT 06032

1. Summary

2. Schedule

3. Equipment List

4. Air Handlers

5. Air Compressors

6. Boilers

7. Cabinet Unit Heaters

8. Chiller

9. Computer Room AC

10. Domestic Hot Water

11. AHU 1 Exhaust

12. AHU 2 Exhaust

13. Exhaust Fans

14. Glycol Feed

15. Chilled Water Pumps

16. Hot Water Pumps

17. Heat Recovery Pumps

18. Unit Heaters

19. Lab Area

20. Non Lab Area

21. Plumbing

22. Electrical

Summary

VTrans

HVAC Mechanical and Building Automation System Maintenance Program

Program Summary

A program is being developed that uses documentation and procedures specific to each mechanical system and equipment. Equipment Operation and Maintenance manuals have been provided in most cases as well as equipment inspection sheets. The program was developed using the available documentation to generate the equipment lists. Through a process that includes ongoing feedback, the documentation and maintenance procedures may be revised to facilitate a more streamlined process. There shall be maintenance manual with the equipment reference material in addition to a maintenance log book with inspection sheets for each piece of equipment. The maintenance shall be performed on a scheduled basis. There shall be an inspection sheet for each piece of equipment for the mechanical maintenance. The individual equipment serving a particular lab has been grouped together so that all of the equipment in each lab will be checked at the same time. A copy of the completed inspection sheet shall be left in the log book. Additionally, a copy of any service/repair tickets and work orders (service and repair work is not part of the scope of this contract) will be left in the log book so that a complete history of the equipment can be monitored. VTrans is not presently using a computer based maintenance management system though they may elect to transition to one in the future. This program will require the successful contractors to record and confirm the correct equipment information on their first inspection. After which the equipment information will appear on the inspection report for the next scheduled inspection.

Objectives Provide a safe and comfortable environment for the building occupants. Improve operating efficiency of mechanical systems. Use preventive maintenance procedures to maximize the life of the mechanical equipment. Use the inspection process to reduce the number of emergency repair situations. Develop a history for each piece of equipment. Refine a process that allows for the most efficient implementation of the maintenance procedures Administration The maintenance program will be administered by VTrans. Administration shall consist of the following: Developing, updating and maintaining the equipment inspection sheets and log books. Upon the initial inspection, equipment information will need to be obtained and recorded. The maintenance technician obtaining the information will be responsible for the accuracy of this information. The administrator will be responsible for ensuring the information is included on future inspection sheets.

Periodically auditing the maintenance activities to ensure the work is being done properly. Solicit feedback from the person performing the maintenance in an effort to enhance or improve the efficiency of the process. The administrator will also randomly verify the accuracy of the equipment information. Monitor the work schedule of the various entities performing the work. Ideally the fundamental work such as filter changing, cleaning and lubrication would be done prior to operational checkout of the equipment. Attend regularly scheduled meetings (minimum of one per year) with the vendors to discuss the condition of the equipment and opportunities to improve comfort, energy efficiency and the overall process. Operation It shall be the responsibility of each contractor to ensure the work is performed at the scheduled time. Documentation is an essential part of this program. Each contractor shall be responsible for not only performing the scheduled maintenance properly but will be responsible for completing the inspection sheet and ensuring a copy is left in the log book. The initial inspection will require equipment information to be documented. The maintenance technician obtaining the information will be responsible for the accuracy of this information, this will normally only need to be done once for each piece of equipment. The contractor shall be responsible for performing the maintenance per the manufacturer’s instructions as provided in the maintenance manual or based on updated information. If specific instructions are not available, it should be noted on the inspection report and the work shall be performed using the industry accepted best practices. The contractor is required to check in and out with VTrans each day when performing the work. The contractors will be required to attend regularly scheduled meetings (minimum of one per year) with VTrans to discuss the condition of the equipment and opportunities to improve comfort, energy efficiency and the overall process. At least one field technician familiar with the facility will need to be present at these meetings. The mechanical maintenance shall be performed on a scheduled basis as shown in the attached schedule. Safety The contractor is responsible to perform the work following all manufacturer recommended safety procedures. A hazard assessment should be performed and appropriate personal protection equipment must be worn while performing the maintenance. Additionally, all VTrans safety requirements must be adhered to while working in the facility.

Schedule

Equipment TypeMechanical Monthly Quarterly Semi Annually Annually

Air Handlers Yes Yes Yes YesAir Compressor Yes YesBoilers Yes YesCabinet Unit Heaters YesChiller YesComputer Room AC Yes YesDomestic Hot Water YesExhaust Fan - AHU 1 Yes Yes Yes YesExhaust Fans - AHU 2 Yes Yes Yes YesExhaust Fans YesGlycol Feed YesChilled Water Pumps YesHot Water Pumps YesHeat Recovery Pumps YesUnit Heaters YesLab and Office VAV Yes

PlumbingDomestic Hot Water YesDrains YesEjector Sump Pumps YesOil and Sand Seperator YesChemisrty Lab Reverse Osmosis System YesChemistry Lab Water Softener Yes

ElectricalGenerator YesData Center UPS YesEmergency Lighting YesPerform Comercial Power Outage Test Yes

Frequency

Equipment Type Frequency Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov DecMechanical

Air Handlers Monthly Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesAir Compressor Monthly Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesBoilers Semi Annually Yes YesCabinet Unit Heaters Annually YesChiller Annually YesComputer Room AC Semi Annually Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesExhaust Fan - AHU 1 Monthly Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesExhaust Fans - AHU 2 Monthly Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes YesExhaust Fans Semi Annually Yes YesGlycol Feed Semi Annually Yes YesChilled Water Pumps Annually YesHot Water Pumps Semi Annually Yes YesHeat Recovery Pumps Annually YesUnit Heaters Annually YesLab and Office VAV Semi Annually Yes Yes

PlumbingDomestic Hot Water AnnuallyDrains Annually YesEjector Sump Pumps Quarterly Yes Yes Yes YesOil and Sand Seperator Annually YesChemisrty Lab Reverse Osmosis System Quarterly Yes Yes Yes YesChemistry Lab Water Softener Semi Annually Yes Yes

ElectricalGenerator Monthly/Annually YesData Center UPS Annually YesEmergency Lighting Annually YesPerform Comercial Power Outage Test Annually Yes

Preventive Maintenance Schedule

Notes:Humidifiers and Fume Hood Exhaust are included in the individual Lab inspectionsSchedule may need to be adjusted based on date of contract award as some equipment may need to be checked at the beginning of the contract. Schedule may also need to be adjusted based on Vtrans workload.

Equipment List

Tag Unit Location Area Served MFG Model Number Serial Number Capacity Electrical Air Filters Belts NotesB 1 Boiler 1 Mechanical Rm 217 Building Hot Water Heating Loop Harsco MACH C1500 HP H625-12-8357 1,440,000 120V 12A PropaneB 2 Boiler 2 Mechanical Rm 217 Building Hot Water Heating Loop Harsco MACH C1500 HP H625-12-8356 1,440,000 120V 12A PropaneHGP 1 Hot Water Heating Pump 1 Mechanical Rm 217 Building Hot Water Heating Loop Taco KV2508 200 GPM/70 FT 10 HP 200V 3Ø 29.2A Glycol/VFDHGP 2 Hot Water Heating Pump 2 Mechanical Rm 217 Building Hot Water Heating Loop Taco KV2508 200 GPM/70 FT 10 HP 200V 3Ø 29.2A Glycol/VFDET 1 Expansion Tank 1 (Hot Water) Mechanical Rm 217 Building Hot Water Heating Loop Taco CBX-15-125 Charged to 14 PSIAS 1 Air Seperator Mechanical Rm 217 Building Hot Water Heating Loop TACO 4904A

Glycol Feed System 1 Mechanical Rm 217 Building Hot Water Heating Loop JL Wingert GL50-E1-1 / B-C 50 Gal CI=10, CO=40

HRP 1 Heat Recovery Pump 1 Mechanical Rm 217 Lab Heat Recovery System Taco KV2011 120 GPM/82FT 7.5 HP 200V 3Ø 22.5A Glycol/VFDHRP 2 Heat Recovery Pump 1 Mechanical Rm 217 Lab Heat Recovery System Taco KV2011 120 GPM/82FT 7.5 HP 200V 3Ø 22.5A Glycol/VFDET 3 Expansion Tank 3 (Heat Recovery) Mechanical Rm 217 Lab Heat Recovery System Taco CBX-30-125 Charged to 14 PSIAS 3 Air Seperator Mechanical Rm 217 Building Hot Water Heating Loop TACO 4903A

CH 1 Air Cooled Chiller 1 Rear of Building Building Chilled Water Cooling Loop McQuay AGZ090DHSNN-ER10 STNU120600216 90 Tons 208/3Ø R 410ACHGP 1 Chilled Water Pump 1 Mech Rm 116 Building Chilled Water Cooling Loop Taco KV3011 186 GPM/80FT 7.5 HP 200V 3Ø 22.5A Glycol/VFDCHGP 2 Chilled Water Pump 2 Mech Rm 116 Building Chilled Water Cooling Loop Taco KV3011 186 GPM/80FT 7.5 HP 200V 3Ø 22.5A Glycol/VFDBT 1 Chilled Water Buffer Tank Mech Rm 116 Building Chilled Water Cooling Loop Cemline CWB 200 200 GallonET 2 Chilled Water Expansion Tank Mech Rm 116 Building Chilled Water Cooling Loop Taco CA-140-125AS 2 Air Seperator Mechanical Rm 116 Building Hot Water Heating Loop TACO 4904A

Glycol Feed System 2 Mech Rm 116 Chilled Water & Heat Recovery Loops JL Wingert GL50-H2-1 / B-C 50 Gal CI=10, CO=40Charged to 14 PSI

AHU-1 Air Handling Unit Mezzanine 218 Non Lab Office Areas McQuay CAH021GDAC (E893509020) 1 of 2 FBOU120601773 9,000 CFM 10 HP 200V 29.5A (12) 24x20x4 (2) BX46 VAV2 of 2 FBOU120600533

EF-AHU 1 AHU 1 Return Fan Mezzanine 218 AHU-1 Greenheck BSQ-300-50 129341331207 9,000 CFM 5 HP 200V

AHU-2 Air Handling Unit Mezzanine 218 Lab VAVs McQuay CAH035GDAC (E893509030) 1 of 3 FBOU120600274 16,000 CFM 25 HP 200V 69.5A (20) 24x20x2 (3) 5VX560 VAV

2 of 3 FBOU1206002743 of 3

EF-1 Exhaust Fan Mezzanine 218 Lab Exhaust McQuay CAH035GDAC (E893509010) FBOU120600276 17,000 CFM 25 Hp 200V 69.5A (20) 24x20x2 (3) 5VX560 VAV

EF-1A Exhaust Fan Mezzanine 218 Lab Exhaust McQuay CAH035GDAC (E893509010) 197479 17,000 CFM 25 Hp 200V 69.5A (20) 24x20x2 (3) 5VX560 VAV

H 1 Electrode Humidifier Mezzanine 218 Chemistry Lab 134 Carel UE025XWOU1 U002611 55 LBS/HR 208V 52A 18.75 KWH-2 Electrode Humidifier Mezzanine 218 Cement Lab 125 Carel UE015XWOU1 U002551 33 LBS/HR 208V 31.2A 11.25 KWH-3 Atomizing Air / Water Humidifier Mezzanine 218 AHU-2 Supply Duct Carel MCCML00000 U003208 500 LBS/HR 110V .65A

EF-2 Exhaust Fan Roof Driller's Garage 119 CO Purge Greenheck GB-200-10-X 130087361209 5,300 CFM 208 AP27EF-3 Exhaust Fan Elevator Machine Room Elevator Machine Room 122 Greenheck SP-A900-QD 12815713 700 CFM 115V 4.9A DDEF-4 Exhaust Fan Mechanical Room 116 Mechanical Room 116 Greenheck SP-A510-QD 12913927 400 CFM 115V 3.3A DDEF-5 Exhaust Fan Mechanical Room 217 Mechanical Room 217 Greenheck SE1-12-426-V6-4X 129341321207 750 CFM 115V 1/6 HP DD 2 SpeedEF-6 Exhaust Fan Mezzanine 218 Binder Lab 135 Xylene Hood Plastec 25 3/4 HP 230V 2.7A DDEF-6a Exhaust Fan Mezzanine 218 Xylene Room 136 Plastec PLA15XS4P 2013005574 .33 HP 230 2.7 DDEF-7 Exhaust Fan Electrical Room 110 Electrical Room 110 Greenheck SBE-1H20-4 700 CFM 115V 4.9A DD Not InstalledEF-8 Exhaust Fan Roof Mezzanine 218 Greenheck LB-14-5-X 12936539 2,100 CFM 115V 9.8A 1.2 HP DDEF-9 Exhaust Fan Mezzanine 218 Chemistry Lab 134 FH 12 Plastec 25 3/4 HP 230V 2.7A DD Right (Small) VAV

EF-10 Exhaust Fan Mezzanine 218 Chemistry Lab 134 FH 13 Plastec 25 3/4 HP 230V 2.7A DD Left (Large) Bypass

Mezzanine 218 Bituminous Lab Troxler Oven Tjerlund D-3 115V/74W/.96A

Vermont AOT Mechanical and Plumbing Equipment

Tag Unit Location Area Served MFG Model Number Serial Number Capacity Electrical Air Filters Belts NotesMezzanine 218 Binder Lab Pyroclean Oven Tjerlund D-3 115V/74W/.96A

EWH 1 Electric Hot Water Heater Mezzanine 218 Fog Room 130 Bradford WhiteM112UT6SS-1NAL JH17008103 12 Gallon 120V 1,500 W Temp & Humidity

EWH 2 Electric Hot Water Heater Mezzanine 218 Fog Room 130 Bradford WhiteM112UT6SS-1NAL JH17522753 12 Gallon 120V 1,500 W Temp & Humidity

CRAC 1 Computer Room Split AC IT Room 139 IT Room 139 Stulz COS-096 10014271 94,780 BTU 208V 3 HPCRACC 1 Remote Condenser Outside IT Room AC 1 Stulz SCS-120-SSA 10014272 208V 8.6A

UH-1 Unit Heater Mechanical Room 116 Mechanical Room 116 Vulcan HV-108A 5.2 MBH/210 CFM115V 900WUH-2 Unit Heater Mechanical Room 217 Mechanical Room 217 Vulcan HV-108A 5.2 MBH/210 CFM115V 900WUH-3 Unit Heater Mezzanine 218 Mezzanine 218 Vulcan HV-180 81.8 MBH/2,200 120V 1/3 HP

UH-4 Unit Heater Mezzanine 218 Mezzanine 218 Vulcan HV-180 81.8 MBH/2,200 120V 1/3 HP

UH-5 Unit Heater Mezzanine 218 Mezzanine 218 Vulcan HV-180 81.8 MBH/2,200 120V 1/3 HP

UH-6 Unit Heater Drillers Garage 119 Drillers Garage 119 Vulcan HV-084 38 MBH/1,100 115V 1/12 HP

UH-7 Unit Heater Drillers Garage 119 Drillers Garage 119 Vulcan HV-084 38 MBH/1,100 115V 1/12 HPUH-8 Unit Heater Water Room 102 Water Room 102 Vulcan HV-108A 5.2 MBH/210 CFM115V 900W

CHU-1 Cabinet Unit Heater Stairway 112 Stairway 112 Vulcan RC1200-02 11.4MBH/185 120V Washable DD

CUH-2 Cabinet Unit Heater Stairway 123 Stairway 123 Vulcan RC1200-02 11.4MBH/185 120V Washable DD

WST 1 Well Water Storage Tank Water Room 102 Building Domestic Water WellXTroll WX-350 120 GallonWST 2 Well Water Storage Tank Water Room 102 Building Domestic Water WellXTroll WX-350 120 GallonWST 3 Well Water Storage Tank Water Room 102 Building Domestic Water WellXTroll WX-350 120 GallonWST 4 Well Water Storage Tank Water Room 102 Building Domestic Water WellXTroll WX-350 120 GallonWST 5 Well Water Storage Tank Water Room 102 Building Domestic Water WellXTroll WX-350 120 GallonWST 6 Well Water Storage Tank Water Room 102 Building Domestic Water WellXTroll WX-350 120 Gallon

WS 1 Water Softener Water Room 102 Building Potable Water Kinetico Overdrive CP216SOD 804439WS 2 Water Softener Water Room 102 Building Potable Water Kinetico Overdrive CP216SOD

UV 1 Ultra Violet Water Purifier Driller's Office 121 Building Potable Water Hallett Crossfire 30 30 GallonUV 2 Ultra Violet Water Purifier Driller's Office 121 Building Potable Water Hallett Crossfire 30 30 GallonUV 3 Ultra Violet Water Purifier Driller's Office 121 Building Potable Water Hallett Crossfire 30 30 Gallon

RO 1 Reverse Osmosis System Mezzanine 218 Humidifiers Kinetico TL SeriesRO ST 1 RO Water Storage Tank Mezzanine 218 RO 1 System Ace Roto Mold SP00300SWU 300 GallonRO ST 2 RO Water Storage Tank Mezzanine 218 RO 1 System Ace Roto Mold SP00300SWU 300 GallonBP 1 Booster Pump Mezzanine 218 RO 1 System Goulds G&L Series LB Size 1x11/4 208/230V 3.5A 1 HPBP 2 Booster Pump Mezzanine 218 RO 1 System Goulds G&L Series LB Size 1x11/4 208/230V 3.5A 1 HP

RO 2 Reverse Osmosis System Mezzanine 218 Chemistry Lab 134 Kinetico TQ SeriesRO ST 3 RO Water Storage Tank Mezzanine 218 RO 2 System Flex-Lite FL 30 90 GallonDI 1 Deionization Tank Mezzanine 218 RO 2 System Clack 8X44 (Size 0844) 4 GPM

DWH 1 Domestic Water Heater Mechanical Room 116 Building Domestic Hot Water AO Smith ATI 520H-P 66001307 Recovery 282 Gal Propane

DHWST 1 Domestic Water Heater Storage Tank Mechanical Room 116 Building Domestic Hot Water AO Smith TJV120M000000Y00 1209M000901 119 GallonDHWST 2 Domestic Water Heater Storage Tank Mechanical Room 116 Building Domestic Hot Water AO Smith TJV120M000000Y00 1224M002220 119 Gallon

ET 4 Domestic Hot Water Expansion Tank Mechanical Room 116 Building Domestic Hot Water Amtrol ST-25V 14319212 Charged to 52 PSI

RCP 1 Recircultation Pump Mechanical Room 116 HW Tanks TACO 009-SF5 115V 1.4A 1/8 HP

RCP 2 Recircultation Pump Mechanical Room 116 Domestic Hot Water Loop TACO 009-SF5 115V 1.4A 1/8 HP

RCP 3 Recircultation Pump Mechanical Room 116 Tempered Water Loop TACO 009-SF5 115V 1.4A 1/8 HP

Sump Pump Driller's Garage 119 Garage & Water Room ZoellerAir Comp 1 Air Comp. 1 ACOMP-1 Speedaire 1W070 208V/10HP/29.5AAir Comp 2 Air Comp. 1 ACOMP-1 Speedaire 1W070 D099449 208V/10HP/29.5AEWH-1 Water Heater Mezzanine 218 Fog Room Heat/RH Bradford M112UT6SS-1NAL JH17008103 12 Gallon 120 Volt 1500 WEWH-2 Water Heater Mezzanine 218 Fog Room Heat/RH Bradford M112UT6SS-1NAL JH17522753 12 Gallon 120 Volt 1500 W

Current Values Enviro-Tec SDRRoom VAV Number Size Service Filter Box Room Equipment Switch Max OCC

W/HoodsMax Cooling

Max Heating Flow

Occ Min (W/O Hoods) No Thermal Call

Unocc Min Spec Offset

Bituminous Lab 138 -150VAV-S201 10 Supply Duct Sock 1450 485 1450 315 90

Demand Control Integral to S201 VAV-E1 6 *EH-2 Counter/Microwave/Troxler Oven Y 600 304 600 145 145VAV-E3 8 *EH-1 (2) Despatch 3600W Ovens Y 1000 1000 145 145Tjerlund Fan Troxler Oven YTotal CFM's -150 181 -150 25 -200

Noise Room 137 VAV-S201 Supply Round Drop (75?) -75VAV E-37 10 ED-10 F-6 Noise Room ? 200 200 0 0

Binder Lab 135 -150-75Changed from 2175//645/300 VAV-S207 19 Supply Duct Sock 2175 844 2175 645 300Demand Control Integral to S207 Changed from 900/300

VAV-E14 10 EH-3 T 59 Emulsified Asphalt Metal Bench Hood/Kinexus Machine/Vacuum Pump

Y 900 600 900 300 0

VAV-E15 6 EH-4 T48 COC/Kinexus Machine/Bench Test Equipment

Y 750 750 0 0

VAV-E16 8 EH-7 Pryoclean Oven Y 200 200 0 0Demand Control VAV-E17 8 EH-6 VWR 1370F/(2) T240 RTFO Y 500 300 500 100 0

VAV-E18 8 EH-5 Prentex Vacuum Oven (small)/ Isotemp Vacuum Oven (Large)

Y 500 500 0 0

Tjerlund Fan Pyroclean OvenXylene Hood (EF) EF 6 1050 0 0 ?Total CFM's -1,725 -675 245 #VALUE!

Xylene Room 136 Xylene Hood (ED) EF 6A 200 0 0 ?Total CFM's -1925 -675 245 #VALUE!

Chem Lab 134 -75VAV-S208 14 Supply Duct Sock 2000 592 900 400 250

Demand Control Integral to S208 VAV-E19 8 EH-11 Chemical Counter/Sink Y 640 640 640 300 160EF-9 FH-12 Right Fume Hood 1260 0 0 0

EF-10 FH-13 Left Fume Hood (CV Bypass) 1060 0 0 0Total CFM's -960 260 100 90

South CorridorsVAV-S205a Supply Registers 750 525 375 0

Soils Lab 131 -150VAV-S202 12 Supply Duct Sock 2210 689 2210 355 65

Demand Control Integral to S202 VAV-E6 8 EH-16 Thermolyne Y 750 428 750 290 145

Room VAV Number Size Service Filter Box Room Equipment Switch Max OCC W/Hoods

Max Cooling

Max Heating Flow



VAV-E5 8 ED-17 F-4 Extractor Arm/Bench Hood Y 800 800 0 145VAV-E7 6 EH-14 Despatch 1600W Oven Y 480 200 0 0

Demand Control VAV-E8 8 EH-15 Despatch 3600W Oven Y 400 270 400 200 0VAV-E9 5 ED-18 Shaker Y 500 500 0 0Total CFM's -720 -440 -135 -225

Geology & Aggregate Lab 132 -150VAV-S211 14 Supply Duct Sock (Deduct for Noise Rooms) 2095 597 1475 430 100

Demand Control Integral to S211 VAV-E12 14 EH-19 Despatch 3600W Oven Y 600 330 600 300 150VAV-S211 Supply Duct Drop D(250),E(250),F(350)

Stepped Control based on # of Sw VAV-E13 8 ED 21,22,23 F-7 Noise Rooms 132 D,E,F Y (3) 1000 750 0 0VAV-E38 10 ED-20 F-2 Cleaning-Seperating Hoods 1 sm 1 Lrg Y 1000 750 145 0

Total CFM's -505 -625 -15 -50

Noise Room 132 D VAV-S211 Supply Drop 250VAV-E13 ED 23 Box set point is determined by the

number of switches on. (0-3) Manual damper should be closed when switch is off.

Y 333

Noise Room 132 E VAV-S211 Supply Drop 250VAV-E13 ED 22 Y 333

Noise Room 132F VAV-S211 Supply Drop 350VAV-E13 ED 21 Y 333

Core Lab 133 -150VAV-S210 Supply Duct Sock (Deduct for Saw RM) 1600 456 1280 300 200

Demand Control Integral to S210 VAV-E24 10 EH-24 (3) Despatch 3600W Ovens Y 800 309 800 145 0VAV-E22 6 EH-25 Instrotek CORELOK/Copier Y 480 480 300 225Total CFM's -480 0 -145 -25

Saw Room 133C VAV-S210 Supply Register Saw RM 133C (400?)VAV-E23 6 ED-26 F-3 Saw Room 133C Y 800 0 0 0

Office 133B VAV-S210EF Undercut Door 75 CFM

North CorridorsVAV-S205 Supply Registers 1000 875 625 0

Strength Lab 127 Program different -75


Max Cooling

Max Heating Flow



VAV-S203 10 Supply Duct Sock 1300 900 165 165Tracking VAV-E35 10 GE General Exhaust N 1345 1300 165 0

VAV-E32 ED-32 Extractor Arm & Saw Y 650 650 0 0Total CFM's -45 -400 0 165

Concrete Lab 128 -150-150VAV-S214 Supply Duct Sock 1600 560 900 300 200

Demand Controlled VAV-E25 10 EH-27 Despatch 2400W Oven Y 600 360 600 300 225VAV-E26 8 ED-28 F-1 Extractor Arm Y 650 650 145 0VAV-E28 6 EH-29 Counter Top Y 600 600 0 0Total CFM's -250 -950 -145 -25

Drillers Office 129 -150VAV-S212 Supply Register 475 250 110 0VAV-E27 6 GE General Exhaust N 600 400 250 0Total CFM's -125 -150 -140 0

Polymer Steel Lab 126 -150VAV-S204 8 Supply Duct Sock 640 640 300 160

Demand Control VAV-E11 8 EH-32 Despatch 1600W Oven (Graphic Wrong) Y 640 640 410 145

Tracking VAV-E36 6 GE General Exhaust N 425 425 150 0Total CFM's -425 -425 -260 15

Cement Lab 125 -150VAV-S206 10 Supply Duct Sock 900 460 900 400 250VAV-E10 8 ED-31 F-8 Extractor Arm Y 640 300 640 300 160VAV-E29 6 EH-30 Autoclave 1800W Y 425 425 150 125Total CFM's -165 -165 -50 -35

Sample Storage 124 -75VAV-S213 Supply Register 600 400 300 0VAV-E34 8 GE General Exhaust N 600 400 300 0Total CFM's 0 0 0 0

Driller Garage 119 -75-150VAV-S209 Supply Registers N/A 515 105 105VAV-E30 GE General Exhaust N N/A 625 410 0Total CFM's #VALUE! -110 -305 105

Storage 120 VAV-E33 5 GE (95) General Exhaust N -85

Drillers Garage Office 121 130


Max Cooling

Max Heating Flow



VAV-S216 Supply Register 130 140 50 0

Water Room 102 VAV-E33 5 GE (180) General Exhaust N 275 275 205 145 -75Total CFM's

Vent Air To AHU-1VAV-S215 Supply Minimum Ventilation Air to AHU 1 N 1000 1000 1000 0

Bathrooms 215, 216 VAV-E4 General Exhaust N 300

Bathroms 114, 115 VAV-E2 General Exhaust N 400

Bathroms 117, 118 VAV-E31 General Exhaust N 500

Break Room 113 VAV-E39 General Exhaust N 200

Room VAV Number Size Min Max MBH GPM Break Rooom 113 VAV S101 5 60 180 2.3 0.15Men's 114, Women's 115 CAV S102 6 75 250 2.9 0.77Men's 215, Women's 216 CAV S103 6 75 250 2.9 0.77Office 214 VAV S104 5 60 200 2.3 0.15Conference Room 111 VAV S105 8 210 750 8 0.54Offices 210, 211, 212 VAV S106 8 167 510 6.35 0.42Conc BIT Tech 208 VAV S107 6 135 450 5.2 0.34Offices 107, 108, 109 VAV S108 8 180 600 5.9 0.4Media Room 209 VAV S109 6 150 500 5.7 0.38Offices 206, 207 VAV S110 8 165 500 5.3 0.35Summer Temp 205 VAV S111 8 180 600 6.85 0.46Research Conference 204 VAV S112 8 210 700 8 0.54Offices 202, 203 VAV S113 6 135 500 5.2 0.34Offices 104, 105, 106 VAV S114 6 210 650 8 0.54Office 103 VAV S115 6 120 400 4.56 0.3Reception/Vestibule VAV S116 8 240 800 9.1 0.61Men's 118, Women's 117 CAV S117 6 135 450 5.2 0.34Electrical room 110 VAV S118 6 140 500 5.2 0.34Second Floor Corridor VAV S119 6 140 520 5.2 0.34

Served by AHU 1

Air Handlers

VTrans Materials Testing Lab 2178 Airport Road Berlin, VT 05641

Inspection Report for Air Handling Unit 1 rev. 0 Page 1 of 5

PREVENTIVE MAINTENANCE INSPECTION REPORT AIR HANDLING UNIT 1

Unit Information

Location Mechanical Room 218 Area Served Non Lab Office Area Quantity Size Manufacturer McQuay Air Filters 12 24x20x4 Model# CAH021GDAC Drive Belts 2 BX46 Serial# FBOU120601 Voltage 208 Horsepower 10 Amperage 29.5 Electrical Panel Location Panel/Breaker #

Engineering Data

Chilled Water Hot Water Chilled Water Hot Water Air Flow 9,000 CFM Water Flow 88.5 GPM 4.1 EAT-DB 84.4 54 EWT 44 180 EAT-WB 71.4 LWT 56.2 137 LAT-DB 53.8 62.6 WPD 17.5 FT .1 FT LAT-WB 53.6 Sensible BTU/HR 301,141 84,674 Face Velocity 447 468 Total BTU/HR 518,585 APD 1.17 .06 Ext Static P 1.5 Total Static P 3.48 Brake HP 8.23 RPM 2,000



Purpose and Scope To verify that the Air Handler is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.

All of the preventive maintenance work identified below is to be done during a time of the day when the HVAC system can be offline for a short period of time. Coordinate with Facilities Manager and Lab Managers for the best time to perform this work so as not to disrupt any lab process or the building and occupant comfort. Always perform a hazard assessment and wear the appropriate personal protection equipment. Equipment Maintenance and Systems Manuals are available for reference and should be reviewed before performing periodic maintenance. Follow all manufacturer and facility safety recommendations. Type of Maintenance: Monthly______ Quarterly______ Semi Annual______ Yearly______

Heating______ Cooling______ Scheduled Date______________ Maintenance Procedures

General Maintenance Task List – Perform at each inspection

Perform before each inspection

Shutdown unit through control system.

Disconnect power to the unit to avoid electrical shock.

Inspect visually for overall condition.

Perform after each inspection

Restore Power to unit.

Restart unit through control system.

Confirm unit is operating properly upon system restart.

Inspect the unit’s access panels and verify all panels are properly secured.

Inspect panel gaskets to insure they are not leaking.

Inspect unit for excessive vibration.



Air Filter Maintenance Task List – Perform Quarterly

Inspect Air Filters. Changed: Yes_______ No________

Damper Maintenance Task List – Perform Semi Annually

Inspect and Clean Fresh Air Inlet Screens

Inspect Clean and Lubricate Fresh Air Damper

Inspect Clean and Lubricate Return Air Damper

Inspect Clean and Lubricate Relief Air Damper

Cooling Coil Maintenance Task List – Perform Semi Annually

Inspect coil condition. Cleaned: Yes_____ No_____ Brushed _____Washed_____

Inspect Cooling Coil Valve condition. Visible Leakage: Yes_______ No_______

Inspect Condensate Drain Pan. Cleaned: Yes_______ No_______

Inspect Condensate Trap and Drain Line. Cleaned: Yes_______ No_______

Heating Coil Maintenance Task List – Perform Semi Annually


Inspect Heating Coil Valve condition. Visible Leakage: Yes_______ No_______



Supply Fan Maintenance Task List

Perform Monthly

Lubricate Supply Fan Bearings per manufacturer’s instructions. Lubricated: Yes____ No____

Inspect Supply Fan Bearings. Worn: Yes____ No____

Perform Quarterly

Inspect Supply Fan Blower Wheel condition. Cleaned: Yes_______ No_______

Inspect Supply Fan Sheave and Pulley. Worn: Yes_______ No_______

Inspect Supply Fan Belts. Changed: Yes_______ No_______ Change as needed at least once/year

Inspect Supply Fan VFD

Verify proper Supply Fan Rotation

Record Unit Voltage: Rated:______ Measured L1 to L2____ L1 to L3____ L2 to L3____

Record Supply Fan Amperage. RLA:______ Measured L1_______ L2_______ L3_______

Inspect Supply Fan Motor bearings

Perform Semi Annually

Lubricate motor bearings per manufacturer’s instructions. Lubricated: Yes_______ No_______

Electrical and Control Maintenance Task List – Perform Semi Annually

Inspect wiring and tighten electrical connections

Inspect unit local controls for proper operation

Inspect unit safety controls for proper operation



Building Automation Perform - Semi Annually

Point Setpoint BAS Value Measured Value Pass/Fail/Notes

Return Air CO2

Return Air RH%

Return Air Temperature

Damper Command

Damper Position

Filter ΔP

Mixed Air Temperature

Cooling Valve Command

Cooling Valve Position

Heating Valve Command

Heating Valve Position

Freeze Protection Thermostat

Supply Fan Command

Supply Fan Status

Supply Fan Speed

Supply Air Temperature

Static Pressure

1. Use the BAS workstation to verify the BAS points

2. Confirm the AHU is controlling to the set points.

3. Record all values at the time of testing.



Maintenance Performed By (Company):_________________________________________________ Technician(s): _____________________________________ Date Performed: __________________

Additional Notes and Recommendations:




Unit Information

Location Mechanical Room 218 Area Served Lab Area Quantity Size Manufacturer McQuay Air Filters 20 24x20x2 Model# CAH035GDAC Drive Belts 3 5VX560 Serial# FBOU120600 Voltage 208 Horsepower 25 Amperage 69.5 Electrical Panel Location Panel/Breaker #

Engineering Data

Heat Recovery

Chilled Water

Hot Water Heat

Recovery Chilled Water

Hot Water

Air Flow 16,000 CFM Water Flow 53.3 GPM 163.9 GPM 149.4 GPM EAT-DB -20 85 9.2 EWT 60 44 180 EAT-WB 72 LWT 30.8 56 149.4 LAT-DB 22.6 54.2 61 WPD 2.6 FT 13.7 FT 4.7 FT LAT-WB 54 Sensible BTU/HR 745,315 538,877 905,732 Face Velocity 479 479 496 Total BTU/HR 942,837 APD .61” 1.57” .13” Ext Static P 1.5 Total Static P 4.61 Brake HP 23.55 RPM 2060























Inspect and clean Fresh Air Inlet Screens

Inspect and clean and lubricate Fresh Air Damper

Heat Recovery Coil Maintenance Task List – Perform Semi Annually


Visible Leakage: Yes_______ No_______


Inspect Evaporator Coil condition. Cleaned: Yes_____ No_____ Brushed _____Washed_____







Sound Attenuator Maintenance Task List – Perform Semi Annually

Inspect attenuator condition. Cleaned: Yes_____ No_____ Brushed _____Washed_____



Atomizing Humidifier Maintenance Task List

Perform Annually

Blow out air and water lines

Inspect and clean regulators, solenoids and valves

Remove nozzle air cap and clean nozzle

Inspect and clean mist eliminator

Inspect control cabinet wiring

Verify and record the compressed air pressure

Verify and record compressed air pressure

Verify the humidifier is operating properly when enabled on by the BAS

Perform Every Three Years

Remove piston, clean and grease

Perform Every Eight Years

Replace O Rings


Perform Monthly



Perform Quarterly




Inspect Supply Fan VFD.

Verify proper Supply Fan Rotation.

Record Unit Voltage: Rated:______ Measured: L1 to L2____ L1 to L3____ L2 to L3____









Inspect unit controls for proper operation.

Inspect unit safety controls for proper operation.


Point Setpoint/ Command BAS Value Measured Value Pass/Fail/Notes

FA Damper

Air Filter ΔP

Heat Recovery Coil Temp

Cooling Coil Temp

Chilled Water Valve

Heating Coil Valve


Supply Fan

Supply Fan Speed

Supply Fan ΔP

Humidifier enable

Humidifier Signal

Supply Air Relative Humidity

Supply Air Temp

Static Pressure

Heat Recovery EWT

Heat Recovery LWT

EF-1 Heat Recovery Valve

EF-1A Heat Recovery Valve

Heat Recovery Pump Status








Air Compressors


Inspection Report for Air Compressor 1 rev. 0 Page 1 of 5

PREVENTIVE MAINTENANCE INSPECTION REPORT Air Compressor 1

Unit Information

Location Mechanical Room 218 System Served Lab Compressed Air/Atomizing Humidifier Manufacturer SPEEDAIRE Model 1WD70 Electrical 208V/10HP Serial Number Electrical Panel Location Panel/Breaker # Capacity Tank Size Maintenance Items MFG Part Number Quantity Intake Air Filters Compressor Oil Filters Compressed Air/Oil Filters Drive Belts B81 2 Compressor Oil



Purpose and Scope To verify that the air compressor system is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.


Scheduled Date______________ Maintenance Procedures

General Maintenance Task List – Perform Monthly

Visually inspect for overall condition

Note any unusual noise or vibration

Clean compressor station

Check compressor oil for contamination and proper level: Added Yes No

Check/drain moisture from compressed air receivers

Confirm proper drain valve operation

Record type of tank drain: Float Electronic Manual

Inspect Air and Oil filters Changed: Yes No

Inspect and confirm proper operation of pressure switch

Record pressure settings: Lead On Off Lag On Off

Inspect system for air leaks

Inspect pressure regulating valves: Record setting



Compressor 1 Maintenance Task List - Perform Semi Annually

Inspect/clean Fly Wheel Condition

Verify proper fly wheel rotation

Inspect/clean after cooler

Inspect drive belt: Changed: Yes No Change as needed

Ensure belt guard is secured in place properly

Inspect inlet air filters Changed: Yes No


Inspect compressor oil filter for leaks Changed: Yes No

Confirm proper unloader operation

Confirm proper safety valve operation

Compressor 1 Motor Maintenance Task List - Perform Semi Annually

Inspect/clean compressor motor: Lubricated Yes No

Inspect motor sheave: Worn Yes No

Measure and record voltage: L1 to L2 L1 to L3 L2 to L3

Measure and record voltage: FLA: Measured: L1 L2 L3

Electrical Maintenance Task List - Perform Semi Annually


Inspect alternating controls for proper operation

Inspect motor starting controls for wear and proper operation


Dryer/Oil Removal Maintenance Task List - Perform Semi Annually

Inspect/clean air dryer

Inspect dryer controls/confirm proper operation

Inspect/clean oil removal system

Confirm proper oil removal operation


















Measure and record voltage: FLA Measured L1 L2 L3







PREVENTIVE MAINTENANCE INSPECTION REPORT Air Compressor 2

Unit Information

Location Driller’s Garage System Served Lab Compressed Air/Atomizing Humidifier Manufacturer SPEEDAIRE Model 1WD70 Electrical 208V/10HP Serial Number Electrical Panel Location Panel/Breaker # Capacity Tank Size Maintenance Items MFG Part Number Quantity Intake Air Filters Compressor Oil Filters Compressed Air/Oil Filters Drive Belts B81 2 Compressor Oil



Purpose and Scope To verify that the air compressor system is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.



General Maintenance Task List – Perform Monthly

Visually inspect for overall condition

Note any unusual noise or vibration

Clean compressor station


Check/drain moisture from compressed air receivers

Confirm proper drain valve operation

Record type of tank drain: Float Electronic Manual

Inspect Air and Oil filters Changed: Yes No

Inspect and confirm proper operation of pressure switch

Record pressure settings: Lead On Off Lag On Off

Inspect system for air leaks

Inspect pressure regulating valves: Record setting


















Measure and record voltage: FLA: Measured: L1 L2 L3

Electrical Maintenance Task List - Perform Semi Annually


Inspect alternating controls for proper operation

Inspect motor starting controls for wear and proper operation


Dryer/Oil Removal Maintenance Task List - Perform Semi Annually

Inspect/clean air dryer

Inspect dryer controls/confirm proper operation

Inspect/clean oil removal system

Confirm proper oil removal operation


















Measure and record voltage: FLA Measured L1 L2 L3





Boilers


Inspection Report for Condensing Boiler 1 rev. 0 Page 1 of 4

PREVENTIVE MAINTENANCE INSPECTION REPORT Condensing Boiler 1

Unit Information

Location Mechanical Room 217 System Served Hot Water Heating System Manufacturer Harsco Model# MACH C1500 Serial# H625-12-8357 Voltage 120V/12A Electrical Panel Location Panel/Breaker #

Engineering Data

Fuel Propane Water Content 19 Gal Input 1,500,000 BTU Max Pressure 125 PSIG Output 1,440,000 BTU Flow Rate at 20° F ΔT 144 GPM Boiler HP 43 Flow Rate at 40° F ΔT 72 GPM Efficiency 96% Max Gas Pressure 14” w.c. Max Operating Temp 194° F Min Gas Pressure 3” w.c.



Purpose and Scope To verify that the Boilers are periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.



Semi Annual Maintenance Task List

Visually inspect for signs of leaks

Inspect condensate drain system and limestone

Inspect and clean burner

Inspect and clean combustion air intake

Check flame signal

Check operating controls

Test high temperature limit

Test low water cut out

Test low gas pressure switch

Test high gas pressure switch

Test flame safeguard

Perform combustion Analysis

Check hydronic system pressure

Test hydronic system PH

Test hydronic system Glycol percentage and tank level

Test safety/relief valve



Building Automation Perform At Each Inspection


Boiler Supply Temperature

Boiler Return Temperature

Hot Water Supply Temperature

Hot Water Return Temperature

Hot Water System Flow

Hot Water System ΔP

Boiler Enable

Boiler Status

Isolation Valve Command

Isolation Valve Status

Boiler Alarm

1. Enable/disable the boiler to confirm proper start up and isolation valve operation.

2. Confirm the boiler is controlling to the set point.


Annual Maintenance Task List - Perform in Addition to Semi Annual Tasks

Clean inlet screen

Inspect combustion chamber

Inspect heat exchanger and flue

Clean combustion side with clean water only

Inspect condensate collection pan and trap

Drain and flush waterside with clean water only

Inspect vent system

Check gas pressure

Inspect propane tanks







PREVENTIVE MAINTENANCE INSPECTION REPORT Condensing Boiler 2

Unit Information

Location Mechanical Room 217 System Served Hot Water Heating System Manufacturer Harsco Model# MACH C1500 Serial# H625-12-8356 Voltage 120V/12A Electrical Panel Location Panel/Breaker #

Engineering Data

Fuel Propane Water Content 19 Gal Input 1,500,000 BTU Max Pressure 125 PSIG Output 1,440,000 BTU Flow Rate at 20° F ΔT 144 GPM Boiler HP 43 Flow Rate at 40° F ΔT 72 GPM Efficiency 96% Max Gas Pressure 14” w.c. Max Operating Temp 194° F Min Gas Pressure 3” w.c.



Purpose and Scope To verify that the Boilers are periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.





Inspect condensate drain system and limestone


Inspect and clean combustion air intake

Check flame signal

Check operating controls


Test low water cut out

Test low gas pressure switch

Test high gas pressure switch

Test flame safeguard

Perform combustion Analysis


Test hydronic system PH

Test hydronic system Glycol percentage and tank level

Test safety/relief valve





Boiler Supply Temperature

Boiler Return Temperature

Hot Water Supply Temperature

Hot Water Return Temperature



Boiler Enable

Boiler Status

Isolation Valve Command

Isolation Valve Status

Boiler Alarm

1. Enable/disable the boiler to confirm proper start up and isolation valve operation.

2. Confirm the boiler is controlling to the set point.


Annual Maintenance Task List - Perform in Addition to Semi Annual Tasks

Clean inlet screen

Inspect combustion chamber

Inspect heat exchanger and flue

Clean combustion side with clean water only

Inspect condensate collection pan and trap

Drain and flush waterside with clean water only

Inspect vent system

Check gas pressure

Inspect propane tanks





Cabinet Unit Heaters


Inspection Report for Cabinet Unit Heaters rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Cabinet Unit Heaters

Associated Equipment Equipment ID Location CUH-1 Stairway 112 CUH-2 Stairway 123

Unit Information

Purpose and Scope Verify that the cabinet unit heaters are periodically inspected and maintained. Ensure room operation is in compliance with the current requirements and specifications.

Type of Maintenance: Monthly______ Quarterly______ Semi Annual______ Yearly______

Scheduled Date______________ All of the preventive maintenance work identified below is to be done during a time of the day when the HVAC system can be offline for a short period of time. Coordinate with Facilities Manager and Lab Manager for best time to perform this work so as not to disrupt any lab process or the building and occupant comfort. Always perform a hazard assessment and wear the appropriate personal protection equipment. Equipment Maintenance and Systems Manuals are available for reference and should be reviewed before performing periodic maintenance.

Equipment ID MFG Model CFM MBH Electrical CUH-1 Vulcan RC-120-02 185 11.4 115V/1/15HP CUH-2 Vulcan RC-120-02 185 11.4 115V/1/15HP



Annual Maintenance Procedure Task List

Cabinet Unit Heater 1 Notes Pass/Fail Item Visually inspect unit and piping for signs of leaks Inspect/clean coil Check for excessive vibration Inspect/wash air filter Inspect/clean motor Inspect motor bearings Lubricated: Y N Use the BAS to call for heat and verify valve opens Verify the fan starts Verify unit provides heat

Cabinet Unit Heater 2 Notes Pass/Fail Item Visually inspect unit and piping for signs of leaks Inspect/clean coil Check for excessive vibration Inspect/wash air filter Inspect/clean motor Inspect motor bearings Lubricated: Y N Use the BAS to call for heat and verify valve opens Verify the fan starts Verify unit provides heat





Chiller


Inspection Report for Air Cooled Chiller 1 rev. 0 Page 1 of 6

PREVENTIVE MAINTENANCE INSPECTION REPORT Air Cooled Chiller

Unit Information

Location Rear of Building System Served Chilled Water Cooling System Manufacturer McQuay Model# AGZ090DHSNN-ER10 Serial# STNU120600216 Voltage 208/3F Electrical Panel Location Panel/Breaker #

Engineering Data

Refrigerant R410A Refrigerant Charge 86 x 2 Capacity 88 Tons EWT 56° F Percentage of Glycol 30 LWT 44° F Evaporator Flow 185.9 GPM Delta T 12° F Evaporator ΔP 12.8 FT Design Ambient T 95° F Minimum Flow Rate 132.3 GPM Maximum Flow Rate 338.7 GPM



Purpose and Scope To verify that the Chiller is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.



Annual Maintenance Task List - Perform the following tasks with the Chiller Off

Secure and lock out electrical power to chiller

Inspect unit for loose, rusted or damaged components

Visually inspect unit for signs of water leakage

Visually inspect unit for signs of refrigerant leakage

Inspect unit thermal insulation for damage

Inspect electrical wiring and terminals for signs of overheating

Tighten electrical connections

Inspect electrical components such as contactors and relays for signs of wear and overheating

Inspect and clean condenser coil

Inspect and check condenser fan blades and fan motor bearings

Perform acid test on oil samples from each of the two refrigerant circuits #1 #2

Megger and record compressor 1




Restore electrical power to chiller



Annual Maintenance Task List - Perform the following tasks with the Chiller Operating

Measure and record unit voltage: L1 to L2 L1 to L3 L2 to L3

Measure and record unit control voltage

Verify operation of compressor crankcase heaters #1 #2 #3 #4

Verify operation of the evaporator/piping heater

Verify compressor oil levels when idle #1 #2 #3 #4

Verify compressor oil levels when operating #1 #2 #3 #4

Verify temperature set point and operating control operation

Measure and record compressor 1 operating amps at each phase L1 L2 L3




Measure and record compressor superheat #1 #2 #3 #4



Operational Temperature and Pressure Readings

Record Outside Air Temperature

Record Chilled Water Temperature Setpoint

Record Leaving Water Temperature

Record Entering Water Temperature

Record Water Temperature Difference

Refrigerant Circuit 1

Record Circuit 1 Evaporator Pressure

Record Circuit 1 Condenser Pressure

Record Circuit 1 Saturated Evaporator Temperature

Record Circuit 1 Suction Line Temperature

Record Circuit 1 Suction Superheat

Record Circuit 1 Saturated Condenser Temperature

Record Circuit 1 Condenser Approach

Record Circuit 1 Liquid Line Temperature

Record Circuit 1 Subcooling

Refrigerant Circuit 2

Record Circuit 2 Evaporator Pressure

Record Circuit 2 Condenser Pressure

Record Circuit 2 Saturated Evaporator Temperature

Record Circuit 2 Suction Line Temperature

Record Circuit 2 Suction Superheat

Record Circuit 2 Saturated Condenser Temperature

Record Circuit 2 Condenser Approach

Record Circuit 2 Liquid Line Temperature

Record Circuit 2 Subcooling





Chilled Water Supply Temperature

Chilled Water Return Temperature

Chilled Water System Flow

Chilled Water System ΔP

Chiller Enable

Chiller set point signal

Chiller Alarm

1. Enable/disable the chiller to confirm proper start up and isolation valve operation.

2. Confirm the chiller is controlling to the set point.






Computer Room AC


Inspection Report for Computer Room A/C Unit 1 rev. 0 Page 1 of 6

PREVENTIVE MAINTENANCE INSPECTION REPORT COMPUTER ROOM AIR CONDITIONING UNIT 1

Unit Information

Location (Indoor Unit) IT Room 139 Area Served IT Room 139 Manufacturer Stulz Air Filters 1 37x33x4Model# COS-096 Drive Belts 1 B48 Serial# 10014271 Horsepower 3 Voltage 208/3ø Amperage Electrical Panel Location Panel/Breaker #

Location (Outdoor Unit) Outside IT Room 139 Manufacturer Stulz Cond Fan 1 Cond Fan 2 Model# SCS-120-SSA Horsepower 1.23 1.48 Serial# 10014272 Amperage 4.48 3.66 Electrical 208/3ø/8.6A Electrical Panel Location Panel/Breaker #

Engineering Data

Sensible BTU/HR 84,040 Air Flow 4,200 CFM Total BTU/HR 94,780 Face Velocity 434 Refrigerant 407C Ext Static P .5”



Purpose and Scope To verify that the Computer Room A/C unit is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.

All of the preventive maintenance work identified below is to be done during a time of the day when the HVAC system can be offline for a short period of time. Coordinate with Facilities Manager and IT Manager for the best time to perform this work so as not to disrupt any lab process or the building and occupant comfort. Always perform a hazard assessment and wear the appropriate personal protection equipment. Equipment Maintenance and Systems Manuals are available for reference and should be reviewed before performing periodic maintenance. Follow all manufacturer and facility safety recommendations. Type of Maintenance: Monthly______ Quarterly______ Semi Annual______ Yearly______ Scheduled Date______________ Maintenance Procedures













Visually inspect unit for signs of refrigerant leaks

Visually inspect unit for signs of water leaks



Supply Fan Maintenance Task List - Perform Semi Annually

Inspect Fan Bearings Lubricated: Yes____ No____ Worn: Yes____ No____

Inspect Fan Blower Wheel condition. Cleaned: Yes_______ No_______

Inspect Fan Sheave and Pulley. Worn: Yes_______ No_______

Inspect Fan Belt. Changed: Yes_______ No_______ Change as needed at least once/year

Record Unit Voltage: Rated:______ Measured: L1 to L2_____ L1 to L3_____L2 to L3_____

Record Fan Amperage. FLA:______ Measured: L1_______ L2_______ L3_______

Inspect Fan Motor bearings. Lubricated: Yes_______ No_______

Air Filter Maintenance Task List – Perform Monthly


Cooling Coil Maintenance Task List – Perform Monthly



Inspect Condensate Trap and Drain Line: Cleaned: Yes_______ No_______

Condensate Pump Maintenance Task List – Perform Monthly

Inspect pump condition. Cleaned: Yes_____ No_____

Activate pump to check operation of pump, check valve and discharge tube



Inspect contactors and relays for signs of wear



Compressor Maintenance Task List - Perform Semi Annually



Verify operation of compressor crankcase heaters: #1 #2



Condenser Maintenance Task List - Perform Semi Annually



Measure and record condenser fan 1 operating amps at each phase L1 L2 L3

Measure and record condenser fan 2 operating amps at each phase L1 L2 L3

Verify proper operation of condenser fan speed control


Check to ensure snow is not obstructing condenser coil or fan discharge

Refrigerant Circuit Maintenance Task List - Perform Semi Annually

Record Compressor 1 Suction Pressure

Record Compressor 1 Discharge Pressure

Record Compressor 2 Suction Pressure

Record Compressor 2 Discharge Pressure

Measure and record compressor superheat: #1 #2

Record Suction Line Temperature

Record Suction Superheat

Record Liquid Line Temperature

Record Subcooling

Measure and record: Return Air Temp Discharge Air Temp ΔT

Verify proper operation of Hot Gas Bypass capacity control



CyberOne Control Maintenance Task List – Perform Semi Annually


Verify Room Temperature Displayed Value Measured Value

Verify Room RH% Displayed Value Measured Value

Test Air Flow Switch

Test Dirty Filter Switch

Water Leak Detector

Confirm Temperature Control operates properly

Confirm Dehumidification Controls operate properly

Measure and record Hot Gas Reheat ΔT during dehumidification mode

Verify alarm function and record any active or recent alarms





Domestic Hot Water


Inspection Report for Domestic Hot Water rev. 0 Page 1 of 4

PREVENTIVE MAINTENANCE INSPECTION REPORT Domestic Hot Water

Unit Information

Location Mechanical Room 116 System Served Domestic Hot Water/Tempered Water Systems Manufacturer AO Smith Fuel Propane Model# ATI-520H-P Recovery 282 Gal Serial# 66001307 Storage Tanks (2) 119 Gal Voltage 120V Electrical Panel Location Panel/Breaker #



Purpose and Scope To verify that the Domestic Hot Water System is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.



Annual Maintenance Task List


Inspect and clean condensate drain system and neutralizer limestone

Inspect neutralizer kit limestone/replace as required


Inspect and clean combustion air and flue vents

Check flame

Check operating controls. Record set point and water temperature


Record system pressure

Inspect pressure relief valve

Clean cold water inlet filter

Inspect and verify operation of recirculation pump 1 serving the storage tanks

Inspect and verify operation of recirculation pump 2 serving the domestic hot water loop

Verify and record the domestic hot water loop temperature

Inspect and verify operation of recirculation pump 3 serving the tempered water loop

Verify and record the tempered water loop temperature





AHU 1 Exhaust




Unit Information

Location Mechanical Room 218 Area Served Non Lab Office Area Quantity Size Manufacturer McQuay Air Filters 12 24x20x4 Model# CAH021GDAC Drive Belts 2 BX46 Serial# FBOU120601 Voltage 208 Horsepower 10 Amperage 29.5 Electrical Panel Location Panel/Breaker #

Engineering Data

Chilled Water Hot Water Chilled Water Hot Water Air Flow 9,000 CFM Water Flow 88.5 GPM 4.1 EAT-DB 84.4 54 EWT 44 180 EAT-WB 71.4 LWT 56.2 137 LAT-DB 53.8 62.6 WPD 17.5 FT .1 FT LAT-WB 53.6 Sensible BTU/HR 301,141 84,674 Face Velocity 447 468 Total BTU/HR 518,585 APD 1.17 .06 Ext Static P 1.5 Total Static P 3.48 Brake HP 8.23 RPM 2,000























Inspect and Clean Fresh Air Inlet Screens

Inspect Clean and Lubricate Fresh Air Damper

Inspect Clean and Lubricate Return Air Damper

Inspect Clean and Lubricate Relief Air Damper












Perform Monthly



Perform Quarterly




Inspect Supply Fan VFD

Verify proper Supply Fan Rotation

Record Unit Voltage: Rated:______ Measured L1 to L2____ L1 to L3____ L2 to L3____







Inspect unit local controls for proper operation






Return Air CO2

Return Air RH%

Return Air Temperature

Damper Command

Damper Position

Filter ΔP

Mixed Air Temperature

Cooling Valve Command

Cooling Valve Position

Heating Valve Command

Heating Valve Position


Supply Fan Command

Supply Fan Status

Supply Fan Speed

Supply Air Temperature

Static Pressure








AHU 2 Exhaust




Unit Information

Location Mechanical Room 218 Area Served Lab Area Quantity Size Manufacturer McQuay Air Filters 20 24x20x2 Model# CAH035GDAC Drive Belts 3 5VX560 Serial# FBOU120600 Voltage 208 Horsepower 25 Amperage 69.5 Electrical Panel Location Panel/Breaker #

Engineering Data

Heat Recovery

Chilled Water

Hot Water Heat

Recovery Chilled Water

Hot Water

Air Flow 16,000 CFM Water Flow 53.3 GPM 163.9 GPM 149.4 GPM EAT-DB -20 85 9.2 EWT 60 44 180 EAT-WB 72 LWT 30.8 56 149.4 LAT-DB 22.6 54.2 61 WPD 2.6 FT 13.7 FT 4.7 FT LAT-WB 54 Sensible BTU/HR 745,315 538,877 905,732 Face Velocity 479 479 496 Total BTU/HR 942,837 APD .61” 1.57” .13” Ext Static P 1.5 Total Static P 4.61 Brake HP 23.55 RPM 2060























Inspect and clean Fresh Air Inlet Screens

Inspect and clean and lubricate Fresh Air Damper





Inspect Evaporator Coil condition. Cleaned: Yes_____ No_____ Brushed _____Washed_____







Sound Attenuator Maintenance Task List – Perform Semi Annually

Inspect attenuator condition. Cleaned: Yes_____ No_____ Brushed _____Washed_____



Atomizing Humidifier Maintenance Task List

Perform Annually

Blow out air and water lines

Inspect and clean regulators, solenoids and valves

Remove nozzle air cap and clean nozzle

Inspect and clean mist eliminator

Inspect control cabinet wiring

Verify and record the compressed air pressure

Verify and record compressed air pressure

Verify the humidifier is operating properly when enabled on by the BAS

Perform Every Three Years

Remove piston, clean and grease

Perform Every Eight Years

Replace O Rings


Perform Monthly



Perform Quarterly






Record Unit Voltage: Rated:______ Measured: L1 to L2____ L1 to L3____ L2 to L3____









Inspect unit controls for proper operation.




FA Damper

Air Filter ΔP


Cooling Coil Temp

Chilled Water Valve

Heating Coil Valve


Supply Fan

Supply Fan Speed

Supply Fan ΔP

Humidifier enable

Humidifier Signal

Supply Air Relative Humidity

Supply Air Temp

Static Pressure

Heat Recovery EWT

Heat Recovery LWT

EF-1 Heat Recovery Valve

EF-1A Heat Recovery Valve

Heat Recovery Pump Status








Exhaust Fans


Inspection Report for EF rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT AHU 1 Power Exhaust Fan

Purpose and Scope Verify that the exhaust fan is periodically inspected and maintained. Ensure room operation is in compliance with the current requirements and specifications.





Associated Equipment Equipment ID Location Area Served AHU 1 Power Exhaust Mechanical Room 218 Office AHU 1

Unit Information

Unit Manufacturer Model Serial Number CFM EF Greenheck BSQ-300-50 129341331207 9,000 Electrical Amperage HP Electrical Panel Panel Location 208/3ø 5 Controls Damper Make Up Air Local Disconnect Belts BAS Motorized

Maintenance Procedure Task List

Perform with AHU 1 Maintenance AHU 1 Power Exhaust Fan Notes Pass/Fail Item Inspect fan installation, ensure fan is properly secured

Ensure access cover is secure Check for excessive vibration Inspect/clean relief damper Inspect drive sheave and fan pulley Worn: Y N Inspect fan bearings. Lubricated: Y N Inspect motor bearings. Lubricated: Y N Verify proper fan rotation Measure and record voltage L1 to L2 L1 to L3 L2 to L3 Measure and record amperage L1 L2 L3 Inspect/change drive belt Worn: Y N Changed: Y N Inspect wiring Confirm the damper first drives open and the damper interlock then starts the fan

Verify the fan operates with AHU 1 fresh air and return air dampers






Inspection Report for EF-1 rev. 0 Page 1 of 5

PREVENTIVE MAINTENANCE INSPECTION REPORT Exhaust Fan 1

Associated Equipment

Location Mechanical Room 218 Area Served Lab Exhaust Quantity Size Manufacturer McQuay Air Filters 20 24x20x2Model# CAH035GDAC Drive Belts 3 5VX560 Serial# FBOU120600276 Voltage 208 Horsepower 25 Amperage 69.5 Electrical Panel Location Panel/Breaker #

Unit Information

Air Flow 17,000 CFM Water Flow 134.5 EAT-DB 80 EWT 45 EAT-WB 67 LWT 56.1 LAT-DB 53 WPD 7.9 FT LAT-WB 52.6 Sensible BTU/HR 502,530 Face Velocity 509 Total BTU/HR 743,459 APD .86” Ext Static P 2.5 Total Static P 3.95 Brake HP 17.26 RPM 1914 Coil used for Heat Recovery for AHU 2





Scheduled Date______________ All of the preventive maintenance work identified below is to be done during a time of the day when the HVAC system can be offline for a short period of time. Coordinate with Facilities Manager and Lab Manager for best time to perform this work so as not to disrupt any lab process or the building and occupant comfort. Always perform a hazard assessment and wear the appropriate personal protection equipment. Equipment Maintenance and Systems Manuals are available for reference and should be reviewed before performing periodic maintenance. Maintenance Procedure Task List















Exhaust Fan Maintenance Task List

Perform Monthly



Perform Quarterly






Record Unit Voltage: Rated:______ Measured: L1 to L2____ L1 to L3____L2 to L3____

Record Supply Fan Amperage. FLA:______ Measured L1_______ L2_______ L3_______







Inspect Clean and Lubricate Isolation Damper








Inspect unit local controls for proper operation.




Exhaust Static Pressure

Exhaust Temp

Exhaust RH%

Isolation Damper

Air Filter ΔP

Heat Recovery Valve


Supply Fan

Supply Fan Speed

Supply Fan ΔP


2. Confirm the Exhaust Fan is controlling to the set points.







Inspection Report for EF-1A rev. 0 Page 1 of 5

PREVENTIVE MAINTENANCE INSPECTION REPORT Exhaust Fan 1A


Location Mechanical Room 218 Area Served Lab Exhaust Quantity Size Manufacturer McQuay Air Filters 20 24x20x2 Model# CAH035GDAC Drive Belts 3 5VX560 Serial# 197479 Voltage 208 Horsepower 25 Amperage 69.5 Electrical Panel Location Panel/Breaker #

Unit Information

Air Flow 17,000 CFM Water Flow 134.5 EAT-DB 80 EWT 45 EAT-WB 67 LWT 56.1 LAT-DB 53 WPD 7.9 FT LAT-WB 52.6 Sensible BTU/HR 502,530 Face Velocity 509 Total BTU/HR 743,459 APD .86” Ext Static P 2.5 Total Static P 3.95 Brake HP 17.26 RPM 1914 Coil used for Heat Recovery for AHU 2





Scheduled Date______________ All of the preventive maintenance work identified below is to be done during a time of the day when the HVAC system can be offline for a short period of time. Coordinate with Facilities Manager and Lab Manager for best time to perform this work so as not to disrupt any lab process or the building and occupant comfort. Always perform a hazard assessment and wear the appropriate personal protection equipment. Equipment Maintenance and Systems Manuals are available for reference and should be reviewed before performing periodic maintenance. Maintenance Procedure Task List















Exhaust Fan Maintenance Task List

Perform Monthly



Perform Quarterly






Record Unit Voltage: Rated:______ Measured: L1 to L2____ L1 to L3____L2 to L3____

Record Supply Fan Amperage. FLA:______ Measured: L1_______ L2_______ L3_______







Inspect Clean and Lubricate Isolation Damper








Inspect unit local controls for proper operation.




Exhaust Static Pressure

Exhaust Temp

Exhaust RH%

Isolation Damper

Air Filter ΔP

Heat Recovery Valve


Supply Fan

Supply Fan Speed

Supply Fan ΔP


2. Confirm the Exhaust Fan is controlling to the set points.














Associated Equipment Equipment ID Location Area Served EF-2 Roof Drillers Garage

Unit Information

Unit Manufacturer Model Serial Number CFM EF-2 Greenheck GB-200-10-X 130087361209 5,300 Electrical Amperage HP Electrical Panel Panel Location 208/3ø Controls Damper Make Up Air Local Disconnect Belts BAS Motorized Yes AP 27 Note: Fan is used for Emergency CO Purge as well as temperature control

Maintenance Procedure Task List- Perform Semi Annually

Exhaust Fan EF-2 Notes Pass/Fail Item Inspect fan installation, ensure fan is properly secured

Ensure access cover is secure Check for excessive vibration Inspect/clean back draft damper Inspect drive sheave and fan pulley Worn: Y N Inspect fan bearings. Lubricated: Y N Inspect motor bearings. Lubricated: Y N Verify proper fan rotation Measure and record voltage L1 to L2 L1 to L3 L2 to L3 Measure and record amperage L1 L2 L3 Inspect/change drive belt Worn: Y N Changed: Y N Inspect wiring Record the thermostat set point Verify that any heating unit (UH) set points do not allow for simultaneous heating and cooling

Verify the BAS control operates correctly for CO purge

Confirm the CO sensor is calibrated Confirm the fan temperature set point does not allow simultaneous cooling and heating

Confirm the damper first drives open and the damper interlock then starts the fan

Confirm the associated intake damper opens

Inspect/clean intake screen













Associated Equipment Equipment ID Location Area Served EF-3 Elevator Machine Rm 122 Elevator Machine Room 122

Unit Information

Unit Manufacturer Model Serial Number CFM EF-2 Greenheck SP-A900 12815713 700 Electrical Amperage HP Electrical Panel Panel Location 115 V 4.9 Controls Damper Make Up Air Local Disconnect Belts BAS Motorized Yes Direct Drive


Exhaust Fan EF-3 Notes Pass/Fail Item Inspect fan installation, ensure fan is properly secured Ensure access cover is secure Check for excessive vibration Inspect/clean back draft damper Inspect motor bearings Lubricated: Y N Verify proper fan rotation Measure and record voltage Measure and record amperage Inspect wiring Record the BAS set point Confirm the damper first drives open and the damper interlock then starts the fan

Confirm the associated intake damper opens Inspect/clean intake screen













Associated Equipment Equipment ID Location Area Served EF-4 Mechanical Room 116 Mechanical Room 116

Unit Information

Unit Manufacturer Model Serial Number CFM EF-4 Greenheck SP-A510 12913927 400 Electrical Amperage HP Electrical Panel Panel Location 115 V 3.3 Controls Damper Make Up Air Local Disconnect Belts BAS Motorized No Direct Drive


Exhaust Fan EF-4 Notes Pass/Fail Item Inspect fan installation, ensure fan is properly secured Ensure access cover is secure Check for excessive vibration Inspect/clean back draft damper Inspect motor bearings Lubricated: Y N Verify proper fan rotation Measure and record voltage Measure and record amperage Inspect wiring Record the BAS set point Verify that any heating unit (UH) set points do not allow for simultaneous heating and cooling














Associated Equipment Equipment ID Location Area Served EF-5 Mechanical Room 217 Mechanical Room 217

Unit Information

Unit Manufacturer Model Serial Number CFM EF-5 Greenheck SE1-12-426-V6-4X 129341321207 750 Electrical Amperage HP Electrical Panel Panel Location 115 V 1/6 Controls Damper Make Up Air Local Disconnect Belts BAS Motorized Yes Direct Drive


Exhaust Fan EF-5 Notes Pass/Fail Item Inspect fan installation, ensure fan is properly secured Ensure access cover is secure Check for excessive vibration Inspect/clean back draft damper Inspect motor bearings Lubricated: Y N Verify proper fan rotation Measure and record voltage Measure and record amperage Inspect wiring Record the BAS set point Verify that any heating unit (UH) set points do not allow for simultaneous heating and cooling


Confirm the intake damper opens Inspect/clean intake screen













Associated Equipment Equipment ID Location Area Served EF-8 Roof Mechanical Room 218

Unit Information

Unit Manufacturer Model Serial Number CFM EF-8 Greenheck LB-14-5-X 12936539 2,100 Electrical Amperage HP Electrical Panel Panel Location 115 9.8 1.2 Controls Damper Make Up Air Local Disconnect Belts Local Thermostat Motorized No 4L 410


Exhaust Fan EF-8 Notes Pass/Fail Item Inspect fan installation, ensure fan is properly secured

Ensure access cover is secure Check for excessive vibration Inspect/clean back draft damper Inspect drive sheave and fan pulley Worn: Y N Inspect fan bearings. Lubricated: Y N Inspect motor bearings. Lubricated: Y N Verify proper fan rotation Measure and record voltage L1 to L2 L1 to L3 L2 to L3 Measure and record amperage L1 L2 L3 Inspect/change drive belt Worn: Y N Changed: Y N Inspect wiring Record the thermostat set point Verify that any heating unit (UH) set points do not allow for simultaneous heating and cooling

Verify the thermostat operates correctly Confirm the damper first drives open and the damper interlock then starts the fan

Confirm the associated intake damper opens N/A





Glycol Feed


Inspection Report for Glycol Feed System 1 rev. 0 Page 1 of 4

PREVENTIVE MAINTENANCE INSPECTION REPORT Glycol Feed System 1

Unit Information

Location Mechanical Room 217 System Served Hot Water Heating Loop Manufacturer J L Wingert Model# GL50-E1-1/BC Serial# Electrical Panel Location Panel/Breaker #

Engineering Data

Capacity 50 Gallons Voltage Amperage Horsepower Pressure Switch Cut In 10 PSI Pressure Switch Cut Out 40 PSI Glycol Type Note: This Glycol feed system serves boilers with aluminum heat exchangers.



Purpose and Scope To verify that the Glycol Feed System is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.



Maintenance Task List - Perform Semi Annually


Inspect piping and tubing

Inspect/clean Y strainer

Inspect/clean check valve

Inspect for unusual noise and vibration

Motor lubricated Yes No Maintenance Free

Inspect pressure relief seal for signs of leakage

Inspect wiring and terminal connections

Inspect motor for signs of overheating

Measure and record voltage

Measure and record amperage

Inspect pressure switch contacts for signs of wear

Test system operation

Test alarm function

Record glycol tank level







PREVENTIVE MAINTENANCE INSPECTION REPORT Glycol Feed System 2

Unit Information

Location Mechanical Room 116 System Served Chilled Water and Heat Recovery Loops Manufacturer J L Wingert Model# GL50-H2-1/BC Serial# Electrical Panel Location Panel/Breaker #

Engineering Data

Capacity 50 Gallons Voltage Amperage Horsepower Pressure Switch Cut In 10 PSI Pressure Switch Cut Out 40 PSI Glycol Type Note: This Glycol feed system serves two separate systems



Purpose and Scope To verify that the Glycol Feed System is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.



Maintenance Task List- Perform Semi Annually


Inspect piping and tubing

Inspect/clean Y strainer

Inspect/clean check valve



Inspect pressure relief seal for signs of leakage



Measure and record voltage

Measure and record amperage

Inspect pressure switch contacts for signs of wear

Test system operation

Test alarm function

Record glycol tank level





Chilled Water Pumps


Inspection Report for Chilled Water Loop Pump CHGP 1 rev. 0 Page 1 of 4

PREVENTIVE MAINTENANCE INSPECTION REPORT Chilled Water Pump CHGP 1

Unit Information

Location Mechanical Room 116 System Served Chilled Water Cooling Loop Manufacturer TACO Model# KV3011 Serial# VFD Yes Electrical Panel Location Panel/Breaker #

Engineering Data

Voltage 208/3ø Amperage 22.5 RPM 1750 HP 7.5 GPM 186 FTHD 80 Impeller Diameter 9.2 Propylene Glycol



Purpose and Scope To verify that the Pumps are periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.



Maintenance Task List - Perform Annually

Visually inspect for signs of leaks at pump seal, piping and trim


Measure and record suction and discharge pressures

Record pump speed at VFD




Measure and record voltage L1 to L2 L1 to L3 L2 to L3

Measure and record amperage L1 L2 L3


Test and record hydronic system PH

Test and record hydronic system Glycol percentage

Inspect and record Glycol tank level




Point Setpoint BAS Value Observed Value Pass/Fail/Notes

Pump Start/Stop

Pump Status

Pump Speed Command

Pump Speed Feedback


Minimum Flow Setpoint


ΔP Setpoint

Bypass Valve Position

Pump Alarm

1. Enable/disable the pump to confirm proper start up.

2. Confirm the pump/system is controlling to the set point.








PREVENTIVE MAINTENANCE INSPECTION REPORT Chilled Water Pump CHGP 2

Unit Information

Location Mechanical Room 116 System Served Chilled Water Cooling Loop Manufacturer TACO Model# KV3011 Serial# VFD Yes Electrical Panel Location Panel/Breaker #

Engineering Data







Maintenance Task List- Perform Annually


















Pump Start/Stop

Pump Status

Pump Speed Command

Pump Speed Feedback




ΔP Setpoint


Pump Alarm








Hot Water Pumps


Inspection Report for Hot Water Pump HGP 1 rev. 0 Page 1 of 4

PREVENTIVE MAINTENANCE INSPECTION REPORT Hot Water Pump HGP 1

Unit Information

Location Mechanical Room 217 System Served Hot Water Heating System Manufacturer TACO Model# KV2508 Serial# VFD Yes Electrical Panel Location Panel/Breaker #

Engineering Data

Voltage 208/3ø Amperage 29.2 RPM 1750 HP 10 GPM 200 FTHD 70 Impeller Diameter 8.2 Propylene Glycol
























Pump Start/Stop

Pump Status

Pump Speed Command

Pump Speed Feedback




ΔP Setpoint


Pump Alarm










PREVENTIVE MAINTENANCE INSPECTION REPORT Hot Water Pump HGP 2

Unit Information

Location Mechanical Room 217 System Served Hot Water Heating System Manufacturer TACO Model# KV2508 Serial# VFD Yes Electrical Panel Location Panel/Breaker #

Engineering Data

Voltage 208/3ø Amperage 29.2 RPM 1750 HP 10 GPM 200 FTHD 70 Impeller Diameter 8.2 Propylene Glycol
























Pump Start/Stop

Pump Status

Pump Speed Command

Pump Speed Feedback




ΔP Setpoint


Pump Alarm








Heat Recovery Pumps


Inspection Report for Heat Recovery Loop Pump HRP 1 rev. 0 Page 1 of 4

PREVENTIVE MAINTENANCE INSPECTION REPORT Heat Recovery Loop Pump HRP 1

Unit Information

Location Mechanical Room 217 System Served Lab AHU 2 Heat Recovery Loop Manufacturer TACO Model# KV2011 Serial# VFD Yes Electrical Panel Location Panel/Breaker #

Engineering Data

























Pump Start/Stop

Pump Status

Pump Speed Command

Pump Speed Feedback




ΔP Setpoint


Pump Alarm










PREVENTIVE MAINTENANCE INSPECTION REPORT Heat Recovery Loop Pump HRP 1

Unit Information

Location Mechanical Room 217 System Served Lab AHU 2 Heat Recovery Loop Manufacturer TACO Model# KV2011 Serial# VFD Yes Electrical Panel Location Panel/Breaker #

Engineering Data

























Pump Start/Stop

Pump Status

Pump Speed Command

Pump Speed Feedback




ΔP Setpoint


Pump Alarm








Unit Heaters


Inspection Report for Unit Heaters rev. 0 Page 1 of 5

PREVENTIVE MAINTENANCE INSPECTION REPORT Unit Heaters


Equipment ID Location UH-1 Mechanical Room116 UH-2 Mechanical Room 217 UH-3 Mechanical Room 218 UH-4 Mechanical Room 218 UH-5 Mechanical Room 218 UH-6 Drillers Garage 119 UH-7 Drillers Garage 119 UH-8 Water Room 102

Unit Information

Equipment ID MFG Model CFM MBH Electrical UH-1 Vulcan HV-108A 210 5.2 115V/900W UH-2 Vulcan HV-108A 210 5.2 115V/900W UH-3 Vulcan HV-180 2,200 81.8 120V/1/3HP UH-4 Vulcan HV-180 2,200 81.8 120V/1/3HP UH-5 Vulcan HV-180 2,200 81.8 120V/1/3HP UH-6 Vulcan HV-084 1,100 38 115V/1/12HP UH-7 Vulcan HV-084 1,100 38 115V/1/12HP UH-8 Vulcan HV-108A 210 5.2 115V/900W



Purpose and Scope Verify that the unit heaters are periodically inspected and maintained. Ensure room operation is in compliance with the current requirements and specifications.


Scheduled Date______________ All of the preventive maintenance work identified below is to be done during a time of the day when the HVAC system can be offline for a short period of time. Coordinate with Facilities Manager and Lab Manager for best time to perform this work so as not to disrupt any lab process or the building and occupant comfort. Always perform a hazard assessment and wear the appropriate personal protection equipment. Equipment Maintenance and Systems Manuals are available for reference and should be reviewed before performing periodic maintenance. Annual Maintenance Procedure Task List

Unit Heater 1 Notes Pass/Fail Item Visually inspect unit and piping for signs of leaks Inspect/clean coil Check for excessive vibration Inspect, adjust blades Inspect/clean motor Inspect motor bearings Lubricated Y N Use the BAS to call for heat and verify valve opens Verify the fan starts Verify unit provides heat
















Lab Area


Inspection Report for Binder Lab 135 rev. 0 Page 1 of 6

PREVENTIVE MAINTENANCE INSPECTION REPORT Binder Lab Room 135

Xylene Room 136

Purpose and Scope Verify that the listed equipment in the lab is periodically inspected and maintained. Ensure lab operation is in compliance with the current Lab requirements and specifications. The task lists below are intended to be performed primarily using the Automated Logic BAS workstation. The BAS sensor calibration needs to be verified and the supply and exhaust VAV boxes need to be confirmed to be operating correctly. Additionally, the mechanical operation of the VAV, reheat coil, exhaust air filter, duct and supply diffuser need to be verified.


Heating______ Cooling______ Scheduled Date______________ All of the preventive maintenance work identified below is to be done during a time of the day when the HVAC system can be offline for a short period of time. Coordinate with Facilities Manager and Lab Manager for best time to perform this work so as not to disrupt any lab process or the building and occupant comfort. The individual pieces of equipment listed for this room normally operate together, as a system, to maintain the proper environmental conditions in each Lab. The operation of all related equipment must be checked individually as well as together during each inspection. All equipment should be checked completely at each inspection. Always perform a hazard assessment and wear the appropriate personal protection equipment. Equipment Maintenance and Systems Manuals are available for reference and should be reviewed before performing periodic maintenance.



Associated Equipment Equipment ID Location Area Served VAV-S207 Mechanical Room 218 Room Supply VAV-E14 Mechanical Room 218 EH-3 VAV-E15 Mechanical Room 218 EH-4 VAV-E16 Mechanical Room 218 EH-7 VAV-E17 Mechanical Room 218 EH-6 VAV-E18 Mechanical Room 218 EH-5 Oven Exhaust Fan Mechanical Room 218 Pyroclean Oven EF-6 Xylene Hood Mechanical Room 218 Xylene HoodXylene Hood Binder Lab 135 Binder Lab 135 EF-6A Mechanical Room 218 ED-9 Xylene Room 136

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S207 ENVIRO-TEC SDR 19 N/A VAV-E14 ENVIRO-TEC SDR 10 N/A VAV-E15 ENVIRO-TEC SDR 6 N/A VAV-E16 ENVIRO-TEC SDR 8 N/A VAV-E17 ENVIRO-TEC SDR 8 N/A VAV-E18 ENVIRO-TEC SDR 8 N/A Oven Exhaust Fan Tjerlund D-3 N/A EF-6 Xylene Hood Plastec PLA15XS4P N/A Xylene Hood Labconco 9970501 N/A EF-6A Plastec 25 N/A


General Room Conditions Setpoint BAS Value Measured Value Pass/Fail/Notes Room Air Flow Tracking N/A Room Differential Pressure N/A Observations/Complaints Indicate Yes/No and document at end of form.

1. Observe the air flow tracking under the various combinations of SVAV and EVAV operation to confirm that the BAS set point is maintained.

2. Observe the room differential pressure reading and compare it to a measured ΔP reading. Note where measured reading is recorded.

3. Note any complaints or observations from the lab technicians.



Supply Air VAV S-207 Point Setpoint BAS Value Measured Value Pass/Fail/Notes Space Temp Discharge Air Temp CFM Current Value Air Flow Ring Condition * Clean Dirty *Cleaned? VAV Damper/Actuator Operation

Reheat Coil Valve Operation Reheat Coil Condition Duct Sox Condition

1. *If required, clean air flow ring by removing tubes from the BAS controller and then blowing air through each tube. Re-attach tubes when complete.

2. Adjust the room temperature set point up and down to observe the VAV damper modulate and the reheat valve modulate.

3. Confirm the supply air flow set point and air flow change when the exhaust air flow changes. Note the associated exhaust air flow changes below when performing this step.

4. Visually observe the reheat coil condition and the Duct-Sox condition for clogging.

Exhaust Air VAV E-14 Point Setpoint BAS Value Measured Value Pass/Fail/Notes CFM Current Value Wall Switch Operation Air Flow Ring Condition * Clean Dirty *Cleaned? VAV Damper/Actuator Operation

1. * If required, clean air flow ring by removing tubes from BAS controller and then blowing air through each tube. Re-attach tubes when complete.

2. Index the wall switch on and off and observe that the set point and air flow change. 3. Observe the airflow set point and air flow change as required when the supply air flow

changes.




changes.






changes.




changes.




changes.



Oven Exhaust Fan Tjerlund Draft Inducer Pyroclean Oven Fan Item Pass/Fail Notes Wall Switch/Fan Operation Record Flue Temperature with oven operating Inspect Fan Wheel for cleanliness Inspect Duct for cleanliness Inspect duct insulation Note: Motor requires no lubrication

Xylene Fume Hood Exhaust Fan EF-6 Item Pass/Fail Notes Confirm the fan shuts down and damper closes when commanded off by the BAS

Verify the fume hood alarm is activated Use the BAS to command the fan on and verify the damper opens and proves open before the fan starts

Open and close the hood sash to verify the fan speed varies

Verify the hood face velocity is 100 FPM Record rated voltage and amperage Record motor operating voltage and amperage Shut down and lock out the fan before proceeding Inspect Fan Wheel for signs of corrosion or damage Clean motor cooling fan and guard of dust Spin motor/fan by hand to check bearings Restart the fan

Note: Motor requires no lubrication

Xylene Room 136 Exhaust Fan EF-6A Item Pass/Fail Notes Confirm the fan shuts down and damper closes when commanded off by the BAS

Verify the negative pressure indicator red ball is visible indicating room is not negative

Use the BAS to command the fan on and verify the damper opens and proves open before the fan starts

Record rated voltage and amperage Record motor operating voltage and amperage Shut down and lock out the fan before proceeding Inspect Fan Wheel for signs of corrosion or damage Clean motor cooling fan and guard of dust Spin motor/fan by hand to check bearings Restart the fan Note: Motor requires no lubrication






Inspection Report for Bituminous Lab 138 rev. 0 Page 1 of 5

PREVENTIVE MAINTENANCE INSPECTION REPORT Bituminous Lab Room 138

Noise Room 137






Associated Equipment Equipment ID Location Area Served VAV-S201 Mechanical Room 218 Room 138, 137 Supply VAV-E1 Mechanical Room 218 EH-2 VAV-E3 Mechanical Room 218 EH-1 Oven Exhaust Fan Mechanical Room 218 Troxler Oven VAV-E37 Mechanical Room 218 Noise Room 137 ED-10

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S201 ENVIRO-TEC SDR 10 N/A VAV-E1 ENVIRO-TEC SDR 6 N/AVAV-E3 ENVIRO-TEC SDR 8 N/AOven Exhaust Fan Tjerlund D-3 N/A VAV-E37 ENVIRO-TEC SDR 10 F6 18x18x2 PL








Supply Air VAV S-201 Point Setpoint BAS Value Measured Value Pass/Fail/Notes Space Temp Discharge Air Temp CFM Current Value Air Flow Ring Condition * Clean Dirty *Cleaned? VAV Damper/Actuator Operation Reheat Coil Valve Operation Reheat Coil Condition Duct Sox Condition








changes.




changes.



Exhaust Air VAV E-37 Point Setpoint BAS Value Measured Value Pass/Fail/Notes CFM Current Value Wall Switch Operation Air Flow Ring Condition * Clean Dirty *Cleaned? VAV Damper/Actuator Operation Air Filter Condition Clean Dirty Changed? Clean Filter ΔP at Min CFM Dirty Filter ΔP at Min CFM Clean Filter ΔP at Max CFM Dirty Filter ΔP at Max CFM



changes. 4. Measure and record the air filter pressure drop as indicated. These values are used for BAS

alarming.

Oven Exhaust Fan Tjerlund Draft Inducer Troxler Oven Fan Item Pass Fail Notes Wall Switch/Fan Operation Record Flue Temperature with oven operating Inspect Fan Wheel for cleanliness Inspect Duct for cleanliness Inspect duct insulation Note: Motor requires no lubrication






Inspection Report for Cement Lab Room 125 rev. 0 Page 1 of 5

PREVENTIVE MAINTENANCE INSPECTION REPORT Cement Lab Room 125






Associated Equipment Equipment ID Location Area Served VAV-S206 Mechanical Room 218 Room Supply VAV-E10 Mechanical Room 218 ED-31 VAV-E29 Mechanical Room 218 EH-30 H2 Humidifier Mechanical Room 218

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S206 ENVIRO-TEC SDR 12 N/A VAV-E10 ENVIRO-TEC SDR 8 F-8 18x18x2 PL VAV-E29 ENVIRO-TEC SDR 6 N/A H2 Humidifier Carel

















alarming.




changes.



Humidifier Control Point Setpoint BAS Value Measured Value Pass/Fail/Notes Room RH% Discharge RH% BAS Signal Humidifier Output AHU 2 Discharge RH%

1. Adjust the room RH% set point to observe the humidifier control. 2. Refer to Humidifier Maintenance Section for additional mechanical maintenance requirements

Humidifier Mechanical Item Pass/Fail Notes Inspect/replace the water supply filter Inspect/clean the fill solenoid valve Clean the fill solenoid valve inlet filter Inspect/clean the drain pump Inspect/change the cylinder Inspect all wiring and terminal connections Use the unit keypad maintenance menu to manually test the following

Contactors Fill Valve Drain Pump Alarm Relay Use the unit keypad menu to retrieve and review the unit alarm history

Record the rated unit voltage and amperage With the unit operating at full capacity measure and record the voltage at each phase

With the unit operating at full capacity measure and record the amperage at each phase

Visually inspect the humidifier and piping for signs of leaks

Visually inspect the distributer and steam piping.

Refer to IOM before servicing and specifically sections 9.3, 9.4, 9.5 and 11.7 for guidance with the above steps.






Inspection Report for Chemistry Lab 134 rev. 0 Page 1 of 6

PREVENTIVE MAINTENANCE INSPECTION REPORT Chemistry Lab Room 134






Associated Equipment Equipment ID Location Area Served VAV-S208 Mechanical Room 218 Room Supply VAV-E19 Mechanical Room 218 EH-11 EF-9 Mechanical Room 218 FH-12 EF-10 Mechanical Room 218 FH-13 H-1Humidifier Mechanical Room 218 Chemistry Lab

Unit Information

Unit Manufacturer Model Size Air Filter

VAV-S208 ENVIRO-TEC SDR 14 N/A VAV-E19 ENVIRO-TEC SDR 8 N/A EF-9 ENVIRO-TEC SDR N/A EF-10 ENVIRO-TEC SDR N/A H-1Humidifier Carel UE025XWOU1 N/A
















changes.



Fume Hood FH 12 (Right) (VAV) Exhaust Fan EF-9 Item Pass/Fail Notes Confirm the fan shuts down and damper closes when commanded off by the BAS





Fume Hood FH 13 (Left) (Bypass) Exhaust Fan EF-10 Item Pass/Fail Notes Confirm the fan shuts down and damper closes when commanded off by the BAS







Humidifier Controls Point Setpoint BAS Value Measured Value Pass/Fail/Notes Room RH% Discharge RH% BAS Signal Humidifier Output AHU 2 Discharge RH%














Inspection Report for Concrete Bituminous Tech Office 208 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Concrete Bituminous Tech Office 208

Purpose and Scope Verify that the listed equipment in the lab is periodically inspected and maintained. Ensure room operation is in compliance with the current requirements and specifications. The task lists below are intended to be performed primarily using the Automated Logic BAS workstation. The BAS sensor calibration needs to be verified and the VAV boxes need to be confirmed to be operating correctly. Additionally, the mechanical operation of the VAV and reheat coil need to be verified.


Heating______ Cooling______ Scheduled Date______________ All of the preventive maintenance work identified below is to be done during a time of the day when the HVAC system can be offline for a short period of time. Coordinate with Facilities Manager and Lab Manager for best time to perform this work so as not to disrupt any lab process or the building and occupant comfort. Always perform a hazard assessment and wear the appropriate personal protection equipment. Equipment Maintenance and Systems Manuals are available for reference and should be reviewed before performing periodic maintenance.



Associated Equipment Equipment ID Location Area Served VAV-S107 Mechanical Room 218 Room Supply

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S107 ENVIRO-TEC SDR 6 N/A


Supply Air VAV S-107 Point Setpoint BAS Value Measured Value Pass/Fail/Notes Space Temp Discharge Air Temp CFM Current Value Air Flow Ring Condition * Clean Dirty *Cleaned? VAV Damper/Actuator Operation Reheat Coil Valve Operation Reheat Coil Condition



3. Visually observe the reheat coil condition for clogging.






Inspection Report for Concrete Lab Room 128 rev. 0 Page 1 of 5

PREVENTIVE MAINTENANCE INSPECTION REPORT Concrete Lab Room 128






Associated Equipment Equipment ID Location Area Served VAV-S214 Mechanical Room 218 Room Supply VAV-E25 Mechanical Room 218 EH-27 VAV-E26 Mechanical Room 218 ED-28 VAV-E28 Mechanical Room 218 EH-29

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S214 ENVIRO-TEC SDR N/AVAV-E25 ENVIRO-TEC SDR 10 N/A VAV-E26 ENVIRO-TEC SDR 8 F-1 18x18x2 PL

VAV-E28 ENVIRO-TEC SDR 8 N/A




3. Note any complaints or observations from the lab technicians. Maintenance Procedure Task List Supply Air VAV S-214 Point Setpoint BAS Value Measured Value Pass/Fail/Notes Space Temp Discharge Air Temp CFM Current Value Air Flow Ring Condition * Clean Dirty *Cleaned? VAV Damper/Actuator Operation Reheat Coil Valve Operation Reheat Coil Condition Duct Sox Condition










changes.




changes.





alarming.






Inspection Report for Core Lab Room 133 rev. 0 Page 1 of 5

PREVENTIVE MAINTENANCE INSPECTION REPORT Core Lab Room 133

Saw Room 133C Office 133B






Associated Equipment Equipment ID Location Area Served VAV-S210 Mechanical Room 218 Room Supply VAV-E24 Mechanical Room 218 EH-24 VAV-E22 Mechanical Room 218 EH-25 VAV-E23 Mechanical Room 218 ED-26 Saw Room

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S210 ENVIRO-TEC SDR N/A VAV-E24 ENVIRO-TEC SDR 10 N/A VAV-E22 ENVIRO-TEC SDR 6 N/AVAV-E23 ENVIRO-TEC SDR 6 F-3 18x18x2 PL
















changes.






changes.





alarming.






Inspection Report for Driller Garage Room 119 rev. 0 Page 1 of 4

PREVENTIVE MAINTENANCE INSPECTION REPORT Driller Garage Room 119






Associated Equipment Equipment ID Location Area Served VAV-S209 Mechanical Room 218 Room Supply VAV-E30 Mechanical Room 218 General Exhaust

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S209 ENVIRO-TEC SDR N/A VAV-E30 ENVIRO-TEC SDR N/A


















changes.


Inspection Report for Drillers Garage Office Room 121 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Drillers Garage Office Room 121







Unit Information

Unit Manufacturer Model Size Air Filter VAV-S216 ENVIRO-TEC SDR N/A












Inspection Report for Drillers Office Room 129 rev. 0 Page 1 of 3

PREVENTATIVE MAINTENANCE INSPECTION REPORT Drillers Office Room 129



Heating______ Cooling______ Scheduled Date______________ All of the preventative maintenance work identified below is to be done during a time of the day when the HVAC system can be offline for a short period of time. Coordinate with Facilities Manager and Lab Manager for best time to perform this work so as not to disrupt any lab process or the building and occupant comfort. The individual pieces of equipment listed for this room normally operate together, as a system, to maintain the proper environmental conditions in each Lab. The operation of all related equipment must be checked individually as well as together during each inspection. All equipment should be checked completely at each inspection. Always perform a hazard assessment and wear the appropriate personal protection equipment. Equipment Maintenance and Systems Manuals are available for reference and should be reviewed before performing periodic maintenance.




Unit Information

Unit Manufacturer Model Size Air Filter VAV-S212 ENVIRO-TEC SDR N/A VAV-E27 ENVIRO-TEC SDR 6 N/A


















changes.


Inspection Report for Geology & Aggregate Lab Room 132 rev. 0 Page 1 of 5

PREVENTIVE MAINTENANCE INSPECTION REPORT Geology & Aggregate Lab Room 132

Noise Room 132D, 132E, 132F






Associated Equipment Equipment ID Location Area Served VAV-S211 Mechanical Room 218 Room Supply VAV-E12 Mechanical Room 218 EH-19 VAV-E13 Mechanical Room 218 EH-21,22,23 Noise Rms VAV-E38 Mechanical Room 218 ED-20

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S211 ENVIRO-TEC SDR N/A VAV-E12 ENVIRO-TEC SDR 14 N/A VAV-E13 ENVIRO-TEC SDR 8 F-7 18x18x2 PL VAV-E38 ENVIRO-TEC SDR 10 F-2 18x18x2 PL
















changes.







alarming.





alarming.






Inspection Report for North Corridors rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT North Corridors

Purpose and Scope Verify that the listed equipment in the lab is periodically inspected and maintained. Ensure lab operation is in compliance with the current Lab requirements and specifications. The task lists below are intended to be performed primarily using the Automated Logic BAS workstation. The BAS sensor calibration needs to be verified and the supply and exhaust VAV boxes need to be confirmed to be operating correctly. Additionally, the mechanical operation of the VAV and reheat coil need to be verified.


Heating______ Cooling______ Scheduled Date______________ All of the preventative maintenance work identified below is to be done during a time of the day when the HVAC system can be offline for a short period of time. Coordinate with Facilities Manager and Lab Manager for best time to perform this work so as not to disrupt any lab process or the building and occupant comfort. Always perform a hazard assessment and wear the appropriate personal protection equipment. Equipment Maintenance and Systems Manuals are available for reference and should be reviewed before performing periodic maintenance.




Unit Information













Inspection Report for Polymer Steel Lab Room 126 rev. 0 Page 1 of 4

PREVENTIVE MAINTENANCE INSPECTION REPORT Polymer Steel Lab Room 126






Associated Equipment Equipment ID Location Area Served VAV-S204 Mechanical Room 218 Room Supply VAV-E11 Mechanical Room 218 EH-32 VAV-E36 Mechanical Room 218 General Exhaust

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S204 ENVIRO-TEC SDR 8 N/A VAV-E11 ENVIRO-TEC SDR 8 N/A VAV-E36 ENVIRO-TEC SDR 6 N/A
















changes.




changes.



Maintenance Performed By (Company):_________________________________________________ Technician(s): _____________________________________Date Performed: __________________



Inspection Report for Sample Storage Room 124 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Sample Storage Room 124







Unit Information


















changes.



Inspection Report for Soils Lab Room 131 rev. 0 Page 1 of 6

PREVENTIVE MAINTENANCE INSPECTION REPORT Soils Lab Room 131






Associated Equipment Equipment ID Location Area Served VAV-S202 Mechanical Room 218 Room Supply VAV-E6 Mechanical Room 218 EH-16 VAV-E5 Mechanical Room 218 ED-17 VAV-E7 Mechanical Toom 218 EH-14 VAV-E8 Mechanical Room 218 EH-15 VAV-E9 Mechanical Room 218 ED-18

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S206 ENVIRO-TEC SDR N/A VAV-E6 ENVIRO-TEC SDR 8 N/A VAV-E5 ENVIRO-TEC SDR 8 F-4 18x18x2 PL VAV-E7 ENVIRO-TEC SDR 6 N/A VAV-E8 ENVIRO-TEC SDR N/A VAV-E9 ENVIRO-TEC SDR 5 N/A
















changes.







alarming.




changes.



2. Index the wall switch on and off and observe that the set point and air flow change. 3. Observe the airflow set point and airflow change as required when the supply air flow changes.







changes.



Inspection Report for South Corridors rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT South Corridors






Associated Equipment Equipment ID Location Area Served VAV-S205a Mechanical Room 218 Room Supply

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S205a ENVIRO-TEC SDR N/A

Maintenance Procedure Task List Supply Air VAV S-205a Point Setpoint BAS Value Measured Value Pass/Fail/Notes Space Temp Discharge Air Temp CFM Current Value Air Flow Ring Condition * Clean Dirty *Cleaned? VAV Damper/Actuator Operation Reheat Coil Valve Operation Reheat Coil Condition










Inspection Report for Storage Room 120 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Storage Room 120 Water Room 102






Associated Equipment Equipment ID Location Area Served VAV-E33 Mechanical Room 218 General Exhaust

Unit Information

Unit Manufacturer Model Size Air Filter VAV-E33 ENVIRO-TEC SDR 5 N/A





changes.






Inspection Report for Strength Lab Room 127 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Strength Lab Room 127







Unit Information

Unit Manufacturer Model Size Air Filter VAV-S203 ENVIRO-TEC SDR 10 N/A VAV-E35 ENVIRO-TEC SDR 10 N/A


















changes.



PREVENTIVE MAINTENANCE INSPECTION REPORT Binder Lab Room 135

Xylene Room 136






Associated Equipment Equipment ID Location Area Served VAV-S207 Mechanical Room 218 Room Supply VAV-E14 Mechanical Room 218 EH-3 VAV-E15 Mechanical Room 218 EH-4 VAV-E16 Mechanical Room 218 EH-7 VAV-E17 Mechanical Room 218 EH-6 VAV-E18 Mechanical Room 218 EH-5 Oven Exhaust Fan Mechanical Room 218 Pyroclean Oven EF-6 Xylene Hood Mechanical Room 218 Xylene HoodXylene Hood Binder Lab 135 Binder Lab 135 EF-6A Mechanical Room 218 ED-9 Xylene Room 136

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S207 ENVIRO-TEC SDR 19 N/A VAV-E14 ENVIRO-TEC SDR 10 N/A VAV-E15 ENVIRO-TEC SDR 6 N/A VAV-E16 ENVIRO-TEC SDR 8 N/A VAV-E17 ENVIRO-TEC SDR 8 N/A VAV-E18 ENVIRO-TEC SDR 8 N/A Oven Exhaust Fan Tjerlund D-3 N/A EF-6 Xylene Hood Plastec PLA15XS4P N/A Xylene Hood Labconco 9970501 N/A EF-6A Plastec 25 N/A








Supply Air VAV S-207 Point Setpoint BAS Value Measured Value Pass/Fail/Notes Space Temp Discharge Air Temp CFM Current Value Air Flow Ring Condition * Clean Dirty *Cleaned? VAV Damper/Actuator Operation

Reheat Coil Valve Operation Reheat Coil Condition Duct Sox Condition








changes.




changes.






changes.




changes.




changes.



Oven Exhaust Fan Tjerlund Draft Inducer Pyroclean Oven Fan Item Pass/Fail Notes Wall Switch/Fan Operation Record Flue Temperature with oven operating Inspect Fan Wheel for cleanliness Inspect and clean the exhaust duct. Dispose of waste properly.

Inspect duct insulation Note: Motor requires no lubrication

Xylene Fume Hood Exhaust Fan EF-6 Item Pass/Fail Notes Confirm the fan shuts down and damper closes when commanded off by the BAS





Xylene Room 136 Exhaust Fan EF-6A Item Pass/Fail Notes Confirm the fan shuts down and damper closes when commanded off by the BAS

Verify the negative pressure indicator red ball is visible indicating room is not negative

Use the BAS to command the fan on and verify the damper opens and proves open before the fan starts

Record rated voltage and amperage Record motor operating voltage and amperage Shut down and lock out the fan before proceeding Inspect Fan Wheel for signs of corrosion or damage Clean motor cooling fan and guard of dust Spin motor/fan by hand to check bearings Restart the fan Note: Motor requires no lubrication







PREVENTIVE MAINTENANCE INSPECTION REPORT Bituminous Lab Room 138

Noise Room 137






Associated Equipment Equipment ID Location Area Served VAV-S201 Mechanical Room 218 Room 138, 137 Supply VAV-E1 Mechanical Room 218 EH-2 VAV-E3 Mechanical Room 218 EH-1 Oven Exhaust Fan Mechanical Room 218 Troxler Oven VAV-E37 Mechanical Room 218 Noise Room 137 ED-10

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S201 ENVIRO-TEC SDR 10 N/A VAV-E1 ENVIRO-TEC SDR 6 N/AVAV-E3 ENVIRO-TEC SDR 8 N/AOven Exhaust Fan Tjerlund D-3 N/A VAV-E37 ENVIRO-TEC SDR 10 F6 18x18x2 PL
















changes.




changes.







alarming.

Oven Exhaust Fan Tjerlund Draft Inducer Troxler Oven Fan Item Pass Fail Notes Wall Switch/Fan Operation Record Flue Temperature with oven operating Inspect Fan Wheel for cleanliness Inspect and clean exhaust duct. Dispose of waste properly.

Inspect duct insulation Note: Motor requires no lubrication







PREVENTIVE MAINTENANCE INSPECTION REPORT Cement Lab Room 125






Associated Equipment Equipment ID Location Area Served VAV-S206 Mechanical Room 218 Room Supply VAV-E10 Mechanical Room 218 ED-31 VAV-E29 Mechanical Room 218 EH-30 H2 Humidifier Mechanical Room 218

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S206 ENVIRO-TEC SDR 12 N/A VAV-E10 ENVIRO-TEC SDR 8 F-8 18x18x2 PL VAV-E29 ENVIRO-TEC SDR 6 N/A H2 Humidifier Carel

















alarming.




changes.



Humidifier Control Point Setpoint BAS Value Measured Value Pass/Fail/Notes Room RH% Discharge RH% BAS Signal Humidifier Output AHU 2 Discharge RH%















PREVENTIVE MAINTENANCE INSPECTION REPORT Chemistry Lab Room 134






Associated Equipment Equipment ID Location Area Served VAV-S208 Mechanical Room 218 Room Supply VAV-E19 Mechanical Room 218 EH-11 EF-9 Mechanical Room 218 FH-12 EF-10 Mechanical Room 218 FH-13 H-1Humidifier Mechanical Room 218 Chemistry Lab

Unit Information

Unit Manufacturer Model Size Air Filter

VAV-S208 ENVIRO-TEC SDR 14 N/A VAV-E19 ENVIRO-TEC SDR 8 N/A EF-9 ENVIRO-TEC SDR N/A EF-10 ENVIRO-TEC SDR N/A H-1Humidifier Carel UE025XWOU1 N/A
















changes.



Fume Hood FH 12 (Right) (VAV) Exhaust Fan EF-9 Item Pass/Fail Notes Confirm the fan shuts down and damper closes when commanded off by the BAS





Fume Hood FH 13 (Left) (Bypass) Exhaust Fan EF-10 Item Pass/Fail Notes Confirm the fan shuts down and damper closes when commanded off by the BAS







Humidifier Controls Point Setpoint BAS Value Measured Value Pass/Fail/Notes Room RH% Discharge RH% BAS Signal Humidifier Output AHU 2 Discharge RH%















PREVENTIVE MAINTENANCE INSPECTION REPORT Concrete Bituminous Tech Office 208







Unit Information













PREVENTIVE MAINTENANCE INSPECTION REPORT Concrete Lab Room 128






Associated Equipment Equipment ID Location Area Served VAV-S214 Mechanical Room 218 Room Supply VAV-E25 Mechanical Room 218 EH-27 VAV-E26 Mechanical Room 218 ED-28 VAV-E28 Mechanical Room 218 EH-29

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S214 ENVIRO-TEC SDR N/AVAV-E25 ENVIRO-TEC SDR 10 N/A VAV-E26 ENVIRO-TEC SDR 8 F-1 18x18x2 PL

VAV-E28 ENVIRO-TEC SDR 8 N/A




3. Note any complaints or observations from the lab technicians. Maintenance Procedure Task List Supply Air VAV S-214 Point Setpoint BAS Value Measured Value Pass/Fail/Notes Space Temp Discharge Air Temp CFM Current Value Air Flow Ring Condition * Clean Dirty *Cleaned? VAV Damper/Actuator Operation Reheat Coil Valve Operation Reheat Coil Condition Duct Sox Condition










changes.




changes.





alarming.







PREVENTIVE MAINTENANCE INSPECTION REPORT Core Lab Room 133

Saw Room 133C Office 133B






Associated Equipment Equipment ID Location Area Served VAV-S210 Mechanical Room 218 Room Supply VAV-E24 Mechanical Room 218 EH-24 VAV-E22 Mechanical Room 218 EH-25 VAV-E23 Mechanical Room 218 ED-26 Saw Room

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S210 ENVIRO-TEC SDR N/A VAV-E24 ENVIRO-TEC SDR 10 N/A VAV-E22 ENVIRO-TEC SDR 6 N/AVAV-E23 ENVIRO-TEC SDR 6 F-3 18x18x2 PL
















changes.






changes.





alarming.







PREVENTIVE MAINTENANCE INSPECTION REPORT Driller Garage Room 119







Unit Information

Unit Manufacturer Model Size Air Filter VAV-S209 ENVIRO-TEC SDR N/A VAV-E30 ENVIRO-TEC SDR N/A


















changes.



PREVENTIVE MAINTENANCE INSPECTION REPORT Drillers Garage Office Room 121







Unit Information














PREVENTATIVE MAINTENANCE INSPECTION REPORT Drillers Office Room 129







Unit Information



















changes.


Inspection Report for Fog Room 130 rev. 0 Page 1 of 4

PREVENTIVE MAINTENANCE INSPECTION REPORT Fog Room 130

The Fog Room is used to store concrete samples. The room is provided with shelving for specimen storage

that allows the samples to be exposed to the moist air. The environmental conditions must be kept at a

constant temperature 23°C +/- 2°C (73.4°F +/-3.5°F) and humidity at least 95% RH. The temperature and

humidity is maintained by delivering atomized warm water to the room. There are two 12 gallon 1500 watt

electric water heaters located in the Mezzanine Mechanical Room. The heaters are supplied with raw well

water. Softened water contains sodium that cannot be introduced to the Fog Room due to the concrete

samples. Low temperature water (74°F) is supplied by the heaters to spray nozzles at the ceiling of the room.

The nozzles spray a fine mist of warm water which keeps the temperature and the relative humidity in the

room within the specifications required.

Entrance from Cement Lab Interior of Fog Room

Entrance from Concrete Lab Water Heaters in Mezzanine 218



Unit Information

Location Mezzanine 218 System Served Fog Room 130 Environmental Control

Manufacturer Bradford White

Electric

Model# M112UT6SS-1NAL

12 Gal

Serial# JH17008103 JH17522753

Voltage 120V 1500W

Electrical Panel Location Panel/Breaker #

Purpose and Scope To verify that the Fog Room Hot Water System is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.

All of the preventive maintenance work identified below is to be done during a time of the day when the HVAC system can be offline for a short period of time. Coordinate with Facilities Manager and Lab Managers for the best time to perform this work so as not to disrupt any lab process or the building and occupant comfort. Always perform a hazard assessment and wear the appropriate personal protection equipment. Equipment Maintenance and Systems Manuals are available for reference and should be reviewed before performing periodic maintenance. Follow all manufacturer and facility safety recommendations.





Quarterly Maintenance Task List

Water Heaters


Remove and inspect electrodes

Descale electrodes as required




Inspect pressure relief valve


Flush and clean water heaters

Check and record voltage and amperage

Room Enclosure

Measure and record the temperature and relative humidity in the Fog Room

Clean the spray nozzles in the Fog Room

Inspect the room enclosure for signs of leakage, rust or corrosion







PREVENTIVE MAINTENANCE INSPECTION REPORT Geology & Aggregate Lab Room 132

Noise Room 132D, 132E, 132F






Associated Equipment Equipment ID Location Area Served VAV-S211 Mechanical Room 218 Room Supply VAV-E12 Mechanical Room 218 EH-19 VAV-E13 Mechanical Room 218 EH-21,22,23 Noise Rms VAV-E38 Mechanical Room 218 ED-20

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S211 ENVIRO-TEC SDR N/A VAV-E12 ENVIRO-TEC SDR 14 N/A VAV-E13 ENVIRO-TEC SDR 8 F-7 18x18x2 PL VAV-E38 ENVIRO-TEC SDR 10 F-2 18x18x2 PL
















changes.







alarming.





alarming.







PREVENTIVE MAINTENANCE INSPECTION REPORT North Corridors







Unit Information














PREVENTIVE MAINTENANCE INSPECTION REPORT Polymer Steel Lab Room 126






Associated Equipment Equipment ID Location Area Served VAV-S204 Mechanical Room 218 Room Supply VAV-E11 Mechanical Room 218 EH-32 VAV-E36 Mechanical Room 218 General Exhaust

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S204 ENVIRO-TEC SDR 8 N/A VAV-E11 ENVIRO-TEC SDR 8 N/A VAV-E36 ENVIRO-TEC SDR 6 N/A
















changes.




changes.



Maintenance Performed By (Company):_________________________________________________ Technician(s): _____________________________________Date Performed: __________________




PREVENTIVE MAINTENANCE INSPECTION REPORT Sample Storage Room 124







Unit Information


















changes.




PREVENTIVE MAINTENANCE INSPECTION REPORT Soils Lab Room 131






Associated Equipment Equipment ID Location Area Served VAV-S202 Mechanical Room 218 Room Supply VAV-E6 Mechanical Room 218 EH-16 VAV-E5 Mechanical Room 218 ED-17 VAV-E7 Mechanical Toom 218 EH-14 VAV-E8 Mechanical Room 218 EH-15 VAV-E9 Mechanical Room 218 ED-18

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S206 ENVIRO-TEC SDR N/A VAV-E6 ENVIRO-TEC SDR 8 N/A VAV-E5 ENVIRO-TEC SDR 8 F-4 18x18x2 PL VAV-E7 ENVIRO-TEC SDR 6 N/A VAV-E8 ENVIRO-TEC SDR N/A VAV-E9 ENVIRO-TEC SDR 5 N/A
















changes.







alarming.




changes.



2. Index the wall switch on and off and observe that the set point and air flow change. 3. Observe the airflow set point and airflow change as required when the supply air flow changes.







changes.




PREVENTIVE MAINTENANCE INSPECTION REPORT South Corridors






Associated Equipment Equipment ID Location Area Served VAV-S205a Mechanical Room 218 Room Supply

Unit Information

Unit Manufacturer Model Size Air Filter VAV-S205a ENVIRO-TEC SDR N/A

Maintenance Procedure Task List Supply Air VAV S-205a Point Setpoint BAS Value Measured Value Pass/Fail/Notes Space Temp Discharge Air Temp CFM Current Value Air Flow Ring Condition * Clean Dirty *Cleaned? VAV Damper/Actuator Operation Reheat Coil Valve Operation Reheat Coil Condition











PREVENTIVE MAINTENANCE INSPECTION REPORT Storage Room 120 Water Room 102






Associated Equipment Equipment ID Location Area Served VAV-E33 Mechanical Room 218 General Exhaust

Unit Information

Unit Manufacturer Model Size Air Filter VAV-E33 ENVIRO-TEC SDR 5 N/A





changes.







PREVENTIVE MAINTENANCE INSPECTION REPORT Strength Lab Room 127







Unit Information

Unit Manufacturer Model Size Air Filter VAV-S203 ENVIRO-TEC SDR 10 N/A VAV-E35 ENVIRO-TEC SDR 10 N/A


















changes.

Non Lab Area


Inspection Report for Break Room 113 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Break Room 113







Unit Information

Unit Manufacturer Model Size Air Filter VAV-S101 ENVIRO-TEC SDR 5 N/A VAV-E39 ENVIRO-TEC SDR N/A









changes.






Inspection Report for Conference Room 111 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Conference Room 111







Unit Information












Inspection Report for Electrical Room 110 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Electrical Room 110







Unit Information












Inspection Report for Media Room 209 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Media Room 209







Unit Information












Inspection Report for Men’s 114, Women’s 115 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Men’s 114, Women’s 115






Associated Equipment Equipment ID Location Area Served CAV-S102 Mechanical Room 218 Room Supply VAV-E2 Mechanical Room 218 General Exhaust

Unit Information

Unit Manufacturer Model Size Air Filter CAV-S102 ENVIRO-TEC SDR 6 N/A VAV-E2 ENVIRO-TEC SDR









changes.














Unit Information

Unit Manufacturer Model Size Air Filter CAV-S117 ENVIRO-TEC SDR 6 N/A VAV-E31 ENVIRO-TEC SDR N/A









changes.














Unit Information


Maintenance Procedure Task List Supply Air VAV S-103 Point Setpoint BAS Value Measured Value Pass/Fail/Notes Space Temp Discharge Air Temp CFM Current Value Air Flow Ring Condition * Clean Dirty *Cleaned? VAV Damper/Actuator Operation Reheat Coil Valve Operation Reheat Coil Condition







changes.






Inspection Report for Office 103 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Office 103







Unit Information




















Unit Information












Inspection Report for Offices 104, 105, 106 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Offices 104, 105, 106







Unit Information



















Unit Information Maintenance Procedure Task List





Equipment ID Location Area Served VAV-S108 Mechanical Room 218 Room Supply







Inspection Report for Offices 202, 203 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Offices 202, 203







Unit Information Unit Manufacturer Model Size Air Filter VAV-S113 ENVIRO-TEC SDR 6 N/A



















Unit Information

































Inspection Report for Reception/Vestibule rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Reception/Vestibule


















Inspection Report for research Conference 204 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Research Conference 204


















Inspection Report for Second Floor Corridor rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Second Floor Corridor








Unit Information












Inspection Report for Summer Temp 205 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Summer Temp 205

















Inspection Report for Vent Air To AHU-1 rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Ventilation Air for AHU-1







Equipment ID Location Area Served VAV-S215 Mechanical Room 218 AHU 1 Minimum Fresh Air

Unit Information


Maintenance Procedure Task List Supply Air VAV S-215 Point Setpoint BAS Value Measured Value Pass/Fail/Notes Discharge Air Temp CFM Current Value Air Flow Ring Condition * Clean Dirty *Cleaned? VAV Damper/Actuator Operation Reheat Coil Valve Operation Reheat Coil Condition


2. Adjust the discharge air temperature set point up and down to observe the reheat valve modulate.








PREVENTIVE MAINTENANCE INSPECTION REPORT Break Room 113







Unit Information

Unit Manufacturer Model Size Air Filter VAV-S101 ENVIRO-TEC SDR 5 N/A VAV-E39 ENVIRO-TEC SDR N/A









changes.







PREVENTIVE MAINTENANCE INSPECTION REPORT Conference Room 111







Unit Information













PREVENTIVE MAINTENANCE INSPECTION REPORT Electrical Room 110







Unit Information













PREVENTIVE MAINTENANCE INSPECTION REPORT Media Room 209







Unit Information




















Unit Information

Unit Manufacturer Model Size Air Filter CAV-S102 ENVIRO-TEC SDR 6 N/A VAV-E2 ENVIRO-TEC SDR









changes.














Unit Information










changes.














Unit Information









changes.














Unit Information




















Unit Information




















Unit Information



















Unit Information Maintenance Procedure Task List







































Unit Information


































PREVENTIVE MAINTENANCE INSPECTION REPORT Reception/Vestibule



















PREVENTIVE MAINTENANCE INSPECTION REPORT Research Conference 204



















PREVENTIVE MAINTENANCE INSPECTION REPORT Second Floor Corridor








Unit Information













PREVENTIVE MAINTENANCE INSPECTION REPORT Summer Temp 205


















PREVENTIVE MAINTENANCE INSPECTION REPORT Ventilation Air for AHU-1







Equipment ID Location Area Served VAV-S215 Mechanical Room 218 AHU 1 Minimum Fresh Air

Unit Information


Maintenance Procedure Task List Supply Air VAV S-215 Point Setpoint BAS Value Measured Value Pass/Fail/Notes Discharge Air Temp CFM Current Value Air Flow Ring Condition * Clean Dirty *Cleaned? VAV Damper/Actuator Operation Reheat Coil Valve Operation Reheat Coil Condition


2. Adjust the discharge air temperature set point up and down to observe the reheat valve modulate.






Plumbing


Inspection Report for Drains and Traps rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Drains and Traps

Purpose and Scope To verify that the Waste, Drain and Trap System is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.

All of the preventive maintenance work identified below is to be done during a time of the day when the Plumbing system can be offline for a short period of time. Coordinate with Facilities Manager and Lab Managers for the best time to perform this work so as not to disrupt any lab process or the building and occupant comfort. Always perform a hazard assessment and wear the appropriate personal protection equipment. Equipment Maintenance and Systems Manuals are available for reference and should be reviewed before performing periodic maintenance. Follow all manufacturer and facility safety recommendations.






Perform the following tasks at each fixture in each Lab. Generate a list of fixtures that required cleaning and should be inspected on a regular basis and note those that should not require future attention.

Clean drain and trap of any accumulated debris


Chemistry 134

Core 133

Saw 133C

Geology Aggregate 132

Binder 135

Bituminous 138

Soils 131

Concrete 128

Fog 130

Strength 127

Polymer Steel 126

Mechanical 116

Drillers Garage 119







PREVENTIVE MAINTENANCE INSPECTION REPORT Domestic Hot Water Systems

Unit Information

Location Mechanical Room 116 System Served Domestic Hot Water/Tempered Water Systems Manufacturer AO Smith Fuel Propane Model# ATI-520H-P Recovery 282 Gal Serial# 66001307 Voltage 120V Electrical Panel Location Panel/Breaker #

Storage Tanks AO Smith TJV-120M (2) 119 Gal

Thermostatic Mixing Valve MV-1 Powers LFSH1434

Building HW Loop

Emergency Thermostatic Mixing Valve MV-2 Powers ETV-400

Tempered water eyewash/shower



Purpose and Scope To verify that the Domestic Hot Water Systems are periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.



Water Heater/ Recirculation Pump Annual Maintenance Task List


Inspect and clean condensate drain system and neutralizer limestone

Inspect neutralizer kit limestone/replace as required


Inspect and clean combustion air and flue vents

Check flame




Inspect pressure relief valves


Inspect and verify operation of recirculation pump 1 serving the storage tanks

Inspect and verify operation of recirculation pump 2 serving the domestic hot water loop

Verify and record the domestic hot water loop temperature

Inspect and verify operation of recirculation pump 3 serving the tempered water loop



MV-1 Thermostatic Mixing Valve Annual Maintenance Task List

Inspect and clean cold water check stop screen

Inspect and clean hot water check stop screen

Verify and record set point

Verify and record water pressure and temperatures for cold hot and mixed

MV-2 Emergency Thermostatic Mixing Valve Annual Maintenance Task List

Inspect and clean cold water check stop screen

Inspect and clean hot water check stop screen

Verify set point of 85˚F

Verify and record water pressure and temperatures for cold hot and mixed

Close cold water check stop. Verify flow to fixtures stops immediately

Open cold water check stop. Close hot water check stop. Verify adequate flow to fixtures

Verify temperature at Eye Wash in Drillers Garage 119

Verify temperature at Eye Wash in Chemistry 134

Verify temperature at Eye Wash in Core 133

Verify temperature at Eye Wash in Binder 135

Verify temperature at Eye Wash in Mechanical Room 116

Verify temperature at Eye Wash in Bituminous 138

Verify temperature at Eye Wash in Geology Aggregate 132

Verify temperature at Eye Wash in Fog 130

Verify temperature at Eye Wash in Cement 125

Verify temperature at Eye Wash in Mechanical 217

Verify flush solenoid operation on Mezzanine

Storage Tank Semi Annual Maintenance Task List

Flush Storage Tank 1

Clean Storage Tank 1

Flush Storage Tank 2

Clean Storage Tank 2






Inspection Report for Ejector Sump Pump rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Ejector Duplex Sump Pump

Unit Information

Location Mechanical Room 116 System Served Drillers Garage and Water Room Drains Manufacturer Zoeller Duplex Pump set Model# 267 3 float switches Control Panel 10-1039 Voltage 120V 10.4A ½ HP 1725 RPM Electrical Panel Location Panel/Breaker #



Purpose and Scope To verify that the Ejector Sump Pump System is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.





Clean sump of any accumulated debris

Inspect float switches and positioning

Fill sump to activate the lead pump. Confirm the pump operation.

Fill sump or adjust float positions to activate the lag pump. Confirm both pumps operation.

Verify the high water visual alarm is on during the lag pump operation.

Verify the high water audible alarm is on during the lag pump operation.

Verify the auxiliary contacts close.

Verify the alarm silence button silences the audible alarm but allows the visual alarm to remain on

Confirm the check valves for each pump are operating correctly.






Inspection Report for Oil and Sand Interceptor rev. 0 Page 1 of 2

PREVENTIVE MAINTENANCE INSPECTION REPORT Oil and Sand Interceptor

Unit Information

Location Drillers Garage 119 System Served Drillers Garage Manufacturer Zurn Model# 1189-100 Serial#

Purpose and Scope To verify that the Interceptor is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.



Inspection Report for Oil and Sand Interceptor rev. 0 Page 2 of 2





Remove grate, sediment pan and bucket and clean

Skim oil and grease from top of water

Dispose of any waste properly



Inspection Report for Reverse Osmosis System rev. 0 Page 1 of 4

PREVENTIVE MAINTENANCE INSPECTION REPORT Reverse Osmosis System

Unit Information

Location Mechanical Room 116 System Served Chemistry Lab Manufacturer Kinetico Model# TQ-173 Voltage 120V Electrical Panel Location Panel/Breaker #



Purpose and Scope To verify that the Reverse Osmosis System is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.




Visually inspect for signs of leaks.

Change Carbon Water Filter

Record the following values

Feed Pressure

Permeate Flow Rate

Water Temperature

Feed Water Quality

Permeate Water Quality






Inspection Report for Water Softener rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Water Softener

Unit Information

Location Mechanical Room 116 System Served Chemistry Lab Manufacturer Lancaster Model# 7-LX-75B Voltage 120V Electrical Panel Location Panel/Breaker #



Purpose and Scope To verify that the Water Softener System is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.




Visually inspect for signs of leaks.

Inspect Brine tank for signs of salt bridging and mushing.

Drain and clean brine tank.

Flush Resin bed with approved water softener cleaner.

Inspect/clean Metered Control Valve

Inspect/clean Brine valve assembly

Record Water Test information

Hardness CaC03 (gpg)

Iron (ppm)

PH

PSI





Electrical

van Zelm #2014206.00 Date: 05/23/15 Page 1 of 5

1. PURPOSE AND SCOPE

The purpose of this test will be to demonstrate the ability of the Standby Power System to operate successfully during a complete power outage. This includes starting of the generator, operating the ATS to transfer the loads to standby power, and maintain the critical loads in the Labs and loads served by the UPS, without any interruption. The test will demonstrate: o Compliance with drawings and specifications o Generator startup o Transfer of emergency power to actual building loads o Maintaining critical UPS loads in the data room without an interruption o Maintaining critical loads in the Labs without an interruption, including Xylene Fans o Confirm Emergency Power Off in Data Room is functioning properly (DISCUSSS WITH JIM WOOD)

2. PREREQUISITES FOR TESTS All Mechanical Equipment is up and running and Building Automation System has everything in occupied mode All AOT Personnel have been notified of impending loss of power Any critical piece of lab equipment has been unplugged prior to test Elevator doors are locked open Fire Department and Security Company have been notified

3. SAFETY

Electrical Contractor is equipped with proper Personal Protective Equipment (PPE). This document does not include any procedures, including specific safety procedures. It is recognized that an

overwhelming majority of tests and inspections recommended are potentially hazardous. Individuals performing these tests shall be capable of conducting the tests in a safe manner and with complete

knowledge of the hazards involved.

Functional Performance Test FPT-1 COMMERCIAL POWER OUTAGE TEST

System:

Standby Power System Location of Equipment: Main Electric Room, Data Room, Outside of Building

Servicing:

Standby Power Systems Subsystems and/or Components:

Automatic Transfer Switch (ATS) Engine Cooling System Fuel System Engine Lubrication System

Project Name: Vermont Agency of Transportation

Test Date/Time: AM/PM PARTICIPANTS Weather: NAME COMPANY

O.A. Temp: oF O.A. Humidity %RH Vermont AOT

1st Test Retest Brookfield Service

Temperature Controls of VT

van Zelm Engineers

---------PASS/FAIL STATUS---------

Pass Fail Incomplete Retest Required Other

---------EQUIPMENT INFORMATION--------- Manufacturer: Generac Volts:120/208

Model:QT04524GNSX Amps: 156 Serial No.: Phase:3Ø Type/Size: 45 kW, LP Gas Misc Info:

Vermont Agency of Transportation FPT-1 Commercial Power Outage Test


4. SYSTEM OVERVIEW-Brief overview of the systems is as follows:

The Standby Power System consists of one (1) 45 kW gas (propane) fired generator located outside of the building. The generator distributes power to one Automatic Transfer Switch (ATS), which is located in the Main Electric Room. The ATS feeds Panel “EP”, which in turn feeds the Uninterruptible Power Supply (UPS) in the IT Room. The UPS in the IT room feeds panel “ITP”, which serves the computer equipment in the room. Some of the loads connected to the Generator (besides the IT Room) include Fire Alarm System, Plugs in Labs, IT Room Cooling Unit, etc.

One-Line Diagram of Standby Power System

5. TEST PREPARATION-Prior to the start of the functional test, verify the following:

Item# DESCRIPTION RESPONSIBLE COMPLETED

1. Ensure that building occupants are aware that testing is commencing.

2. Unplug all critical piece of equipment in all of the labs.

3. Bring Elevator to lowest level and lock doors open.

4. Notify Fire Department and Security Company that testing will begin.

5. Confirm that all Mechanical Equipment is up and running and is in occupied mode.

6. Confirm that Electrical Contractor is wearing appropriate PPE.

7. I.T. Department has authorized the test to begin.

8. Emergency Generator- Engine Lube Oil and Coolant Level is Correct? Battery Charger is Operating and Batteries are fully Charged?

9.

REMARKS:



6. FUNCTIONAL PERFORMANCE TESTS-Record all of the following information into the tables below and assign an issue # to all items that have an issue.

1. Test#1– Demonstrate that Standby Power is Properly Transferred to all Loads During a Power Outage

N/A PASS FAIL ISSUE ISSUE #

a. Open the 1600 Amp Main Breaker (Panel MD in Main Electrical Room). Does the Generator Start in less than 10 seconds and Power the ATS Emergency Input?

b. Does ATS Transfer to Standby Power?

Time from Outage _______ Seconds.

c. Did the UPS Switch to Battery Power Immediately Upon Loss of Commercial Power?

d. Does the UPS Maintain the Critical Load During the Outage?

e. Did the UPS come off Batteries as soon as Standby Power was Available and Stable?

f. Record Time UPS Operating on Battery Power

_______ Minutes

g. Did UPS Batteries Immediately Begin to Recharge while on Generator Power?

h. What is the Actual Standby Load provided by the Generator?

_______ kW, _______ KVA

i. Is the 225 Amp Distribution Panel “EP” Energized?

j. Do the Remote Annunciator Indicate the Status Change?

k. Is the Stulz Computer Room Air Conditioning Unit (CRAC) Running and Operating Properly?

l. Fire alarm panel-Verify that it is functioning by initiating an alarm and then resetting.

m. Go to each emergency power receptacle in the Labs and verify proper power.

n. Walk the Building and Verify that Emergency Lighting is on and working properly.

o.

Record voltage and amperage of each phase and frequency using meter (not generator gages); engine temperature, oil pressure, and battery charge rate at 5 minute intervals for a period of one half hour. See Sheet below.

p. Record propane usage during the test

q. Xylene Fans up and running?



r.

Close the 1600 Amp Main Breaker. Does the ATS Transfer back to Normal? What is the Time Delay Between Return of Normal Power and Transfer?

_______ Minutes

s. Does the Generator go into Cool Down Mode and then Shutdown? Cool Down Time to Shutdown. _______ Minutes

t.

Are the Stulz CRAC Units and HVAC Systems Operating Properly? Building Automation System up and running normally?

u. Have all Building Systems Returned to Normal Operation? Are there any Alarms Present?

v. Walk the Building and confirm that there are not any problems in any of the Labs or with I.T. Equipment.

REMARKS:

2.

Test#2 –EPO – Demonstrate that Power is Shutdown to all Data Processing and Related Equipment by Operation of the Emergency Power OFF (EPO) Buttons Located in the Data Room. Place all Systems in Normal Operating Mode on Commercial Power for this test.

N/A PASS FAIL ISSUE ISSUE #

a. Operate the EPO in Data Room. Does the shunt trip for Panel “ITP” Shutdown the Panel?

b. Reset Shunt Trip for Panel ITP

c. Fire Department and Security Company has been notified that all testing is not complete.

REMARKS:

7. ISSUES LOG

ISSUE # ISSUE DESCRIPTION DATE RECORDED BY

CORRECTION VERFIED

1

2

3

4

5

6

Vermont Agency of Transportation

FPT-1 Commercial Power Outage Test

van Zelm # 2014206.00 Date: 05/23/17 Page 5 of 5

Date: 09/17/15 Customer: Vermont Agency of Transportation Location: Exterior of Building Model# QT04524GNSX Serial #

LOAD VOLTAGE AMPS POWER FACTOR

D.C. VOLTAGE

OIL PRESSURE

OIL TEMP

FUEL PRESSURE

FUEL CONS.

J.W. TEMP

A.C. TEMP

EXH TEMP

ENCLOSURE TEMP TIME 0% KW L1 - L2 L2 - L3 L3 - L4 PH 1 PH 2 PH 3 HZ

SAFETY CHECKLIST TRIP ALARMS OFF PANEL ALARMS SHUTDOWNS POINT OK LOW OIL PRESSURE CRITICAL LOW FUEL LEVEL

LOW OIL PRESSURE HIGH COOLANT TEMP HIGH FUEL LEVEL HIGH COOLANT TEMP LOW COOLANT TEMP CRITICAL HIGH FUEL LEVEL

OVERSPEED NOT IN AUTO OVERFLOW RETURN PUMP 1 OVERCRANK LOW BATTERY VOLTAGE OVERFLOW RETURN PUMP 2

BATT CHARGER FAILURE LOW FUEL LEVEL

ENGINE CYCLE CRANK SECONDS CRANKING Overall System Integrity

SECONDS REST Acceptable__________ TOTAL CRANK CYCLES Deficiencies_________

TOTAL CRANK SECONDS LOW HIGH

VOLTAGE REGULATOR ADJUSTMENT RANGE


Inspection Report for Emergency Lighting rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Emergency Lighting

Unit Information

Manufacturer Model# Serial# Voltage Type/Size Quantity

Purpose and Scope To verify that the Emergency Lighting System is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.

All of the preventive maintenance work identified below is to be done during a time of the day when the Plumbing system can be offline for a short period of time. Coordinate with Facilities Manager and Lab Managers for the best time to perform this work so as not to disrupt any lab process or the building and occupant comfort. Always perform a hazard assessment and wear the appropriate personal protection equipment. Equipment Maintenance and Systems Manuals are available for reference and should be reviewed before performing periodic maintenance. Follow all manufacturer and facility safety recommendations.






Perform the following tasks for each lighting fixture

For fixtures without test switches, shut off power to the circuit and observe the fixture to remain on for a period of 90 minutes.

Push Test Switch if equipped Observe Charge Indicator if equipped Note if Battery is changed Room

Lighting Fixtures Exit Signs

Drillers Garage 119 4 2

South Corridor 2 2

South East Corridor 2 2

South West Corridor 2 2

Center Corridor 2 2

Stair 112 2 1

North West Corridor 2 1

Elevator Corridor 1 1

Stair 123 2 0

Vestibule 110 1 2

Mezzanine 2 0

Mechanical Room 1 1

2nd Fl West Corridor 2 2

Stair 112 2 0

2nd Fl North Corridor 3 1

2nd Fl Elevator Corridor 1 1

Stair 201 2 0






Inspection Report for Emergency Generator rev. 0 Page 1 of 3

PREVENTIVE MAINTENANCE INSPECTION REPORT Emergency Generator

Unit Information

Location Outside Electrical Room 110 System Served Building Emergency Power and IT Room Manufacturer Generac Model# QT04524GNSX Serial# 4285080 Voltage 120/208 3Ø156 Amps Type/Size 45KW LP Gas Fuel Propane

Purpose and Scope To verify that the Emergency Generator is periodically inspected and maintained to ensure continuous operation in compliance with the original manufacturers requirements and specifications.






Monthly Maintenance Task List

Visually inspect fuel and coolant lines for signs of leaks

Check oil level

Check coolant level

Inspect and clean enclosure louvers

Clean and tighten battery terminals

Check battery dielectric level

Test Battery charge


Change oil

Change oil filter

Change coolant

Change spark plugs





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