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["Facility Inspection Form"]
[]
["Unit Coolers (UC) Certification Program"]
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["Tabs","Tabs have been color coded as follows"]
["Gray","Instructions and information"]
["Orange","Fillable Forms"]
[]
["Cells","Cells have been color coded as follows to show the action required for each"]
["Gray","Question/Prompt - No action required"]
["Yellow","Response Field - Answer reuired"]
["No Fill","Answer provided and does not contain an error"]
["Red","Error - Answer provided does not match requirements"]
[]
["Change Log"]
["Version Number","Published Date","Description "]
["v1.0","2023-11-08","Original Published Version"]
["©Copyright 2023, by Air-Conditioning, Heating, and Refrigeration Institute."]
[]
["Please complete all form tabs below and fill out all required fields"]

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[null,null,null,null,"FORM UC-FA1\nUC APPLICATION FOR WITNESS TESTING\nAHRI CERTIFICATION PROGRAM FOR\nFORCED-CIRCULATION FREE-DELIVERY UNIT COOLERS FOR REFRIGERATION"]
[]
[]
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[]
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["I, the undersigned, hereby request the Air-Conditioning, Heating, and Refrigeration Institute (AHRI) to approve our test facility, located at:"]
[]
[]
["Company Name:"]
["Test Stand Name:"]
["Street Address:"]
[]
["City:"]
["State/Province:"]
["Country:"]
["Zip/Postal Code:",null,null,null,null,"Is this a renewal of this test stand?"]
[]
["for the purpose of conducting performance certification tests in accordance with the AHRI Certification Program for Forced-Circulation Free-Delivery Unit Coolers for Refrigeration (UC). All testing shall be conducted in accordance with the Applicable Rating Standard, as defined in the UC Operations Manual, and witnessed by the Independent Third-Party Laboratory contracted by AHRI."]
[]
[]
[]
[]
["Requirements",null,null,null,null,null,"Category 1","Category 2","Category 3","Category 4"]
[]
["Form UC-FA1 Application",null,null,null,null,null,"■","■","■","■"]
["Form UC-FA2 Personnel Experience Questionnaire",null,null,null,null,null,"■","■","■"]
["Form UC-FA3 Facility and Equipment Questionnaire",null,null,null,null,null,"■",null,"■"]
["Form UC-FA4 Calibration Summary",null,null,null,null,null,"■","■","■","■"]
["Copy of each calibration report showing last dates of calibration",null,null,null,null,null,"■","■","■"]
["Schematic drawing of the area of the test facility in which AHRI certification testing will be performed",null,null,null,null,null,"■",null,"■"]
[]
["Drawings of Air Sampling Tree (see AHRI Standard 550/590, Figure E3 for an example)",null,null,null,null,null,"■",null,"■"]
[]
["Schematic drawing or photographs of placement of Air Sampling Trees for each unit cooler configuration to be tested, with consideration to the range of sizes to be tested",null,null,null,null,null,"■",null,"■"]
[]
[]
[]
["Photographs of the test facility in which AHRI certification testing will take place (which shall include sufficient views to show the location and connection of each instrument as well as the location and connection of the ports to be used by the Laboratory during witness testing)",null,null,null,null,null,"■",null,"■"]
[]
[]
[]
[]
[]
["Facility Inspection"]
["Full",null,null,null,null,null,"■","■","■"]
["Partial (implemented after updates to AHRI 420)",null,null,null,null,null,null,null,null,"■"]
[null,null,null,null,"(“■” indicates the item is required for the category)"]
["Category Descriptions:"]
[]
[null,"Category 1 = First-time (“Full”) Facility Approval (to be compliant with AHRI Standard 420-2008)"]
[]
[]
[null,"Category 2 = No physical and/or operational changes were made which would impact results of previous Category 1 assessment"]
[]
[]
[null,"Category 3 = Physical and/or operational change(s) was (were) made to the Facility since previous Category 1 assessment"]
[]
[]
[null,"Category 4 = Have a valid AHRI Facility approval certificate, but want to upgrade the Facility to be compliant with AHRI Standard 420-20XX (this category is only used for 20XX certification testing purposes). Note: if approved under this category, the existing Facility approval certificate and associated dates will remain valid. Also, if this option is selected, the next Facility approval must be a Category 1 inspection."]
[]
[]
[]
[]
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["Accompanying this request is the following information:"]
[]
["a.","A copy of each calibration report showing dates of last calibration;"]
[]
["b.","A schematic drawing of the area of the test facility in which AHRI certification testing will be performed;"]
[]
[]
["c.","Photographs of the test facility in which certification testing shall take place, which include sufficient views to show the location and connection of each instrument."]
[]
[]
["In signing this form, and submitting all information requested above, I acknowledge that the test facility is in conformance with all of the provisions of the Applicable Rating Standard."]
[]
[]
[]
[null,null,null,null,null,null,"Printed Name"]
[]
[null,null,null,null,null,null,"Title"]
["Signature of Certification Program Compliance Officer or Lab Manager"]
[null,null,null,null,null,null,"Date"]
[]
[]
[]
[]
[]
[]
[]
[]
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["Final approval of this test facility to conduct witness testing in support of the AHRI Certification Program for Performance Rating of Forced-Circulation Free-Delivery Unit Coolers for Refrigeration is contingent upon AHRI’s approval of the information provided and satisfactory completion of a facility and equipment inspection. AHRI will notify the Participant, in writing, when final approval of the test facility to conduct witness testing has been granted. Final approval must be received before any AHRI certification tests, including program qualification tests, can be conducted in the test facility."]

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[null,null,null,null,"FORM UC-FA2\nPERSONNEL EXPERIENCE QUESTIONNAIRE\nAHRI CERTIFICATION PROGRAM FOR\nFORCED-CIRCULATION FREE-DELIVERY UNIT COOLERS FOR REFRIGERATION"]
[]
[]
[]
[]
[]
["Company Name:",null,{"$f":"IF('UC-FA1'!C10=0,\"Please fill out 'Company' on UC-FA1\",'UC-FA1'!C10)","v":"Please fill out 'Company' on UC-FA1"}]
[]
["Test Stand Name:",null,{"$f":"IF('UC-FA1'!C11=0,\"Please fill out 'Test Stand Name' on UC-FA1\",'UC-FA1'!C11)","v":"Please fill out 'Test Stand Name' on UC-FA1"}]
[]
["The following personnel are directly responsible for conducting the testing that will be witnessed at the Participant’s test facility in accordance with the AHRI Forced-Circulation Free Delivery Unit Coolers for Refrigeration Certification Program:"]
[]
[]
[]
[null,"Primary Contact",null,null,null,"Alternate Contact (Optional):"]
[]
[]
[null,"Name",null,null,null,"Name"]
[]
[]
[null,"Title",null,null,null,"Title"]
[]
[]
[null,"Phone Number",null,null,null,"Phone Number"]
[]
[]
[null,"Email",null,null,null,"Email"]
[]
[null,"Area of Responsibility for Certification Testing:",null,null,null,"Area of Responsibility for Certification Testing:"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["Test Technicians:"]
[]
[null,"Do you have training requirements for Test Technicians? If so, briefly describe or list them below and include approximate duration of training:"]
[]
[]
[]
[]
[]
[]
[null,"If training requirements do not currently exist briefly describe experience of all technicians who will be tasked with Unit Cooler testing. Attach Resume/Bio for each Engineer/Technician."]

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[null,null,null,null,"FORM UC-FA3\nFACILITY AND EQUIPMENT QUESTIONNAIRE\nAHRI CERTIFICATION PROGRAM FOR\nFORCED-CIRCULATION FREE-DELIVERY UNIT COOLERS FOR REFRIGERATION"]
[]
[]
[]
[]
[]
["Company Name:",null,{"$f":"IF('UC-FA1'!C10=0,\"Please fill out 'Company' on UC-FA1\",'UC-FA1'!C10)","v":"Please fill out 'Company' on UC-FA1"}]
[]
["Test Stand Name:",null,{"$f":"IF('UC-FA1'!C11=0,\"Please fill out 'Test Stand Name' on UC-FA1\",'UC-FA1'!C11)","v":"Please fill out 'Test Stand Name' on UC-FA1"}]
[]
["1.","What is the operating range of the facility?"]
[]
[null,"a.","Minimum"]
[]
[null,null,"i.","Room Dry Temperature",null,null,null,null,null,"°F"]
[]
[null,null,"ii.","Unit Cooler SST",null,null,null,null,null,"°F"]
[]
[null,null,"iii.","Capacity @ SST",null,null,null,null,null,"kBtuh"]
[]
[null,null,"iv.","Airflow",null,null,null,null,null,"SCFM"]
[]
[null,"b.","Maximum"]
[]
[null,null,"i.","Room Dry Temperature",null,null,null,null,null,"°F"]
[]
[null,null,"ii.","Unit Cooler SST",null,null,null,null,null,"°F"]
[]
[null,null,"iii.","Capacity @ SST",null,null,null,null,null,"kBtuh"]
[]
[null,null,"iv.","Airflow",null,null,null,null,null,"SCFM"]
[]
["2.","What is the size of the test chamber?",null,null,null,null,null,null,null,"ft2"]
[]
["3.","Does the test chamber have obstacles minimizing Unit Coolers size – as defined in Appendix C6 on AHRI Standard 420?"]
[]
[]
[null,"a.","What is the largest face area Unit Cooler that can be installed?",null,null,null,null,null,null,"ft2"]
[]
[null,"b.","What is the maximum airflow rate (CFM) based on the test chamber volume (ft3) that can be tested?"]
[]
[]
[null,null,null,null,null,null,null,null,null,"CFM"]
[]
["4.","What types of instruments are used for measuring refrigerant temperatures?"]
[]
[null,"a.","RTD"]
[]
[null,"b.","Thermistor"]
[]
[null,"c.","Other"]
[]
[null,"d.","How often are these instruments calibrated?"]
[]
[null,null,"Every",null,"months"]
[]
[null,"e.","Is the primary standard traceable to NIST?"]
[]
["5.","What types of instruments are used for measuring refrigerant flows?"]
[]
[null,"a.","Coriolis"]
[]
[null,"b.","Turbine"]
[]
[null,"c.","Ultrasonic"]
[]
[null,"d.","Other"]
[]
[null,"e.","How often are these instruments calibrated?"]
[]
[null,null,"Every",null,"months"]
[]
[null,"f.","Is the primary standard traceable to NIST?"]
[]
["6.","What types of instruments are used for measuring refrigerant pressure?"]
[]
[null,"a.","Transducer"]
[]
[null,"b.","Gauge"]
[]
[null,"c.","Other"]
[]
[null,"d.","How often are these instruments calibrated?"]
[]
[null,null,"Every",null,"months"]
[]
[null,"e.","Is the primary standard traceable to NIST?"]
[]
["7.","What types of instruments are used for measuring liquid pressure?"]
[]
[null,"a.","Transducer"]
[]
[null,"b.","Gauge"]
[]
[null,"c.","Other"]
[]
[null,"d.","How often are these instruments calibrated?"]
[null,null,"Every",null,"months"]
[]
[null,"e.","Is the primary standard traceable to NIST?"]
[]
["8.","What types of instruments are used for measuring liquid temperatures?"]
[]
[null,"a.","RTD"]
[]
[null,"b.","Thermistor"]
[]
[null,"c.","Other"]
[]
[null,"d.","How often are these instruments calibrated?"]
[]
[null,null,"Every",null,"months"]
[]
[null,"e.","Is the primary standard traceable to NIST?"]
[]
["9.","What types of instruments are used for liquid flows?"]
[]
[null,"a.","Coriolis"]
[]
[null,"b.","Turbine"]
[]
[null,"c.","Orifice"]
[]
[null,"d.","Magnetic"]
[]
[null,"e.","Venturi"]
[]
[null,"f.","How often are these instruments calibrated?"]
[]
[null,null,"Every",null,"months"]
[]
[null,"g.","Is the primary standard traceable to NIST?"]
[]
["10.","How are the refrigerant properties required to calculate Unit Cooler capacity determined?"]
[]
[]
[null,"a.","Software"]
[]
[null,null,"If so, what software package is utilized and what version?"]
[]
[]
[null,"b.","Reference Text"]
[]
[null,null,"If so, what reference text is being utilized and what version?"]
[]
[]
["11.","What types of instruments are used for measuring motor power?"]
[]
[null,null,"Transducer"]
[]
[null,null,"KW Meter"]
[]
[null,null,"Other"]
[]
[null,null,"How often are these instruments calibrated?"]
[]
[null,null,"Every ",null,"months"]
[]
[null,null,"Is the primary standard traceable to NIST?"]
[]
["12.","Does the test chamber have means for adding moisture in the room for wet testing?"]
[]
[null,"a.","How will moisture be supplied to the room?"]
[]
[]
[]
[null,"b.","How will relative humidity be measured?"]
[]
[]
[]
["13.","Does the refrigeration loop circulate oil?"]
[]
[null,"a.","If yes, how will the refrigeration oil be removed?"]
[]
[]
[]
[null,"b.","If yes, how will the oil concentration be measured?"]
[]
[]
[]
["14.","How long does it take to install a unit for test (fully instrumented)?"]
[]
[null,"a.","Direct Supervision Man-Hours",null,null,null,null,"Persons","Hours"]
[]
[]
["15.","How long does it take to conduct a rating test (start to finish, including calculations)?"]
[]
[null,"a.",null,null,null,null,null,"Persons","Hours"]
[null,null,"Direct Supervision Man-Hours"]
[]
["16.","How many shifts per day will be employed for AHRI witness test(s)?"]
[]
["17.","Where are the temperature probes placed?"]
[]
[null,"a.","Thermo Well"]
[]
[null,"b.","Directly in the Stream"]
[]
[null,"c.","Outside of Pipe"]
[]
[null,"d.","Other"]
[]
["18.","What provisions are made for the Independent Third-Party Laboratory’s instrumentation?"]
[]
[]
[null,"a.","Refrigerant or Liquid Temperature"]
[]
[null,null,"i.","Thermowell"]
[]
[null,"b.","Refrigerant or Liquid Pressure"]
[]
[null,null,"i.","Valved ¼” NPT"]
[]
[null,null,"ii.","Off Common Tap"]
[]
[null,null,"iii.","Other"]
[]
["19.","Explain the facility’s data acquisition system"]

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[null,null,null,null,"FORM UC-FA4\nCALIBRATION SUMMARY\nAHRI CERTIFICATION PROGRAM FOR\nFORCED-CIRCULATION FREE-DELIVERY UNIT COOLERS FOR REFRIGERATION"]
[]
[]
[]
[]
[]
["Company Name:",null,{"$f":"IF('UC-FA1'!C10=0,\"Please fill out 'Company' on UC-FA1\",'UC-FA1'!C10)","v":"Please fill out 'Company' on UC-FA1"}]
[]
["Test Stand Name:",null,{"$f":"IF('UC-FA1'!C11=0,\"Please fill out 'Test Stand Name' on UC-FA1\",'UC-FA1'!C11)","v":"Please fill out 'Test Stand Name' on UC-FA1"}]
[]
["The purpose of this Form is to provide sufficient information so that a determination can be made of the range over which the calibration process achieves the required accuracy for each of the Systems listed at the bottom of this form."]
[]
[]
[]
["Ch #","Code:","Measurement","System & Instrument Set",null,"Device","Manufacturer Stated Accuracy",null,"Range of Use","Calibrated As"]
[86,"E45-Pr","Evap Pressure Inlet",1,1,"Transducer","±0.1% FS(-40 to 85°F)",null,"0-300 psia","Individual"]
[88,"E39-Pr","Evap Pressure Outlet",2,2,"Transducer","±0.1% FS(-40 to 85°F)",null,"0-100 psia","Individual"]
[74,"E10-Pr","Test Cond Pressure Inlet","3,4","3,4","Transducer","±0.1% FS(-40 to 85°F)",null,"0-100 psia","Individual"]
[75,"E23-Pr","Test Cond Pressure Outlet",5,5,"Transducer","±0.1% FS(-40 to 85°F)",null,"0-100 psia","Individual"]
[76,"E27-Pr","Condensate Pump Outlet",6,6,"Transducer","±0.1% FS(-40 to 85°F)",null,"0-100 psia","Individual"]
[77,"E11-Pr","Recirc Pump Upstream",7,7,"Transducer","±0.1% FS(-40 to 85°F)",null,"0-100 psia","Individual"]
[78,"E13-Pr","Recirc Pump Downstream",8,8,"Transducer","±0.1% FS(-40 to 85°F)",null,"0-100 psia","Individual"]
[81,"E26-Pr","Brine Pressure Inlet",9,9,"Transducer","±0.1% FS(-40 to 85°F)",null,"0-100 psia","Individual"]
[82,"E28-Pr","Brine Pressure Outlet",10,10,"Transducer","±0.1% FS(-40 to 85°F)",null,"0-100 psia","Individual"]
[12,"E112-W112","Evap Coil Inlet Temp",11,11,"RTD","± 0.1°F for intended range of use",null,"-25-95°F","System"]
[15,"E115-W115","Evap Coil Inlet Temp",11,11,"RTD","± 0.1°F for intended range of use",null,"-25-95°F","System"]
[9,"E109-W109","Evap Coil Outlet",12,12,"RTD","± 0.1°F for intended range of use",null,"-25-95°F","System"]
[]
["System Name:"]
[]
["1.","Using the Table below, list all instruments and data acquisition devices in the System."]
[]
["Instrument/Device",null,null,"Description",null,null,"Manufacturer’s Stated Accuracy"]
[]
[]
[]
[]
[null,"What is the intended range- of-use for the System? (Lower - Upper):"]
[]
[]
[]
[null,"Was the System calibrated as a whole, or were each instruments/devices calibrated individually?"]
[]
["Whole System",null,null,null,"(if checked, complete the Whole System Calibration Points section, below)"]
[]
[]
["Individual Components",null,null,null,null,"(if checked, complete the Individual Components section, below)"]
[]
[]
["2.","Whole System Calibration Points: List the values (temp, pressure, mA, etc) at which calibration was conducted."]
[]
[]
[null,null,"Reference Standard",null,"As Found",null,"As Calibrated"]
[]
[null,"Point #1"]
[null,"Point #2"]
[null,"Point #3"]
[null,"Point #4"]
[null,"Point #"]
[null,"Point #"]
[null,"Point #"]
[null,"Point #"]
[]
["Does the System meet the required accuracy over the intended range-of-use? "]
[]
["Describe the method of analysis used to make the determination of System accuracy"]
[]
[]
[]
[]
[]
[]
["3.","Individual Component Calibration Points: For each Instrument/Device listed in the Table above, list the values (temp, pressure, mA, etc) at which calibration was conducted (add additional sheets as necessary)"]
[]
[]
[]
[null,null,"Instrument/Device:"]
[null,null,"Reference Standard",null,"As Found",null,"As Calibrated"]
[null,"Point #1"]
[null,"Point #2"]
[null,"Point #3"]
[null,"Point #4"]
[null,"Point #"]
[null,"Point #"]
[null,"Point #"]
[null,"Point #"]
[]
["Does the System meet the required accuracy over the intended range-of-use? "]
[]
[]
["Describe the method of analysis used to make the determination of System accuracy:"]
[]
[]
[]
[]
[]
[null,"Include most recent Calibration Reports and/or Certificates as an attachment to this form"]
[]
["Complete a separate calibration summary for each of the following systems:"]
[]
["SYSTEM 1: REFRIGERANT LIQUID PRESSURE - ENTERING EXPANSION VALVE, INSTRUMENT SET #1"]
[]
[]
["SYSTEM 2: REFRIGERANT LIQUID/VAPOR PRESSURE – LEAVING EVAPORATOR, INSTRUMENT SET #2"]
[]
["SYSTEM 3: REFRIGERANT LIQUID/VAPOR PRESSURE – INSIDE LIQUID/VAPOR SEPARATOR, INSTRUMENT SET #3"]
[]
[]
["SYSTEM 4: REFRIGERANT PRESSURE – ENTERING CONDENSER CALORIMETER, INSTRUMENT SET #4"]
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["SYSTEM 5: REFRIGERANT LIQUID PRESSURE - ENTERING CONDENSATE PUMP, INSTRUMENT SET #5"]
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["SYSTEM 6: REFRIGERANT LIQUID PRESSURE - LEAVING CONDENSATE PUMP, INSTRUMENT SET #6"]
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["SYSTEM 7: REFRIGERANT LIQUID PRESSURE - ENTERING RECIRCULATION PUMP, INSTRUMENT SET #7"]
[]
["SYSTEM 8: REFRIGERANT LIQUID PRESSURE - LEAVING RECIRCULATION PUMP, INSTRUMENT SET #8"]
[]
["SYSTEM 9: FLUID PRESSURE – ENTERING CONDENSER CALORIMETER, INSTRUMENT SET #9"]
[]
["SYSTEM 10: FLUID PRESSURE – LEAVING CONDENSER CALORIMETER, INSTRUMENT SET #10"]
[]
["SYSTEM 11: REFRIGERANT LIQUID TEMPERATURE - ENTERING EXPANSION VALVE, INSTRUMENT SET #11"]
[]
["SYSTEM 12: REFRIGERANT LIQUID/VAPOR TEMPERATURE – LEAVING EVAPORATOR, INSTRUMENT SET #12"]
[]
["SYSTEM 13: REFRIGERANT TEMPERATURE – ENTERING CONDENSER CALORIMETER, INSTRUMENT SET #13"]
[]
["SYSTEM 14: REFRIGERANT LIQUID TEMPERATURE - ENTERING CONDENSATE PUMP, INSTRUMENT SET #14"]
[]
["SYSTEM 15: REFRIGERANT LIQUID TEMPERATURE - LEAVING CONDENSATE PUMP, INSTRUMENT SET #15"]
[]
["SYSTEM 16: REFRIGERANT LIQUID TEMPERATURE - ENTERING RECIRCULATION PUMP, INSTRUMENT SET #16"]
[]
["SYSTEM 17: REFRIGERANT LIQUID TEMPERATURE - LEAVING RECIRCULATION PUMP, INSTRUMENT SET #17"]
[]
["SYSTEM 18: FLUID TEMPERATURE – ENTERING CONDENSER CALORIMETER, INSTRUMENT SET #18"]
[]
["SYSTEM 19: FLUID TEMPERATURE – LEAVING CONDENSER CALORIMETER, INSTRUMENT SET #19"]
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["SYSTEM 20: REFRIGERANT TEMPERATURE – LOCAL PIPE, INSTRUMENT SET #20"]
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["SYSTEM 21: FLUID MASS FLOW RATE – ENTERING CONDENSER CALORIMETER, INSTRUMENT SET #21"]
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["SYSTEM 22: REFRIGERANT LIQUID MASS FLOW RATE – LEAVING CONDENSER CALORIMETER, INSTRUMENT SET #22"]
[]
[]
["SYSTEM 23: REFRIGERANT LIQUID MASS FLOW RATE – ENTERING EXPANSION VALVE, INSTRUMENT SET #23"]
[]
["SYSTEM 24: FAN SPEED – INSTRUMENT SET #24"]
[]
["SYSTEM 25: BAROMETRIC PRESSURE – INSTRUMENT SET #25"]
[]
["SYSTEM 26: AIR INLET RELATIVE HUMIDUITY (as required) – INSTRUMENT SET"]
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["SYSTEM 27: LOCAL PIPE AMBIENT TEMPERATURE – INSTRUMENT SET #27"]
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["SYSTEM 28: CONDENSER CALORIMETER AMBIENT TEMPERATURE – INSTRUMENT SET #28"]
[]
["SYSTEM 29: LIQUID/VAPOR SEPARATOR AMBIENT TEMPERATURE – INSTRUMENT SET #29"]
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["SYSTEM 30: DRY-BULB TEMPERATURE of AIR AT INLET – INSTRUMENT SET #30"]
[]
["SYSTEM 31: DEW POINT of AIR AT INLET – INSTRUMENT SET #31"]
[]
["SYSTEM 32: WET-BULB TEMPERATURE of AIR AT INLET – INSTRUMENT SET #32"]
[]
["SYSTEM 33: ELECTRICAL POWER, INSTRUMENT SET #33"]