GEMP Form 1B - Survey on Centralized Airconditioning Units.xlsx

	A	B	C	D	E	F	G	H	I	J	K	L	M
1												GEMP FORM -1B
2											Region : ____
3	GOVERNMENT ENERGY MANAGEMENT PROGRAM (GEMP)
4	SURVEY ON CENTRALIZED AIRCONDITIONING UNITS
5	(In compliance with R.A. 11285 and its IRR)
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7	Name of Government Agency/Office : _______________________________________									Contact No.: __________________________
8	Address : _______________________________________________________________									Date: ________________________________
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10	CENTRALIZED AIRCONDITIONERS
11	Quantity	Model/ Type	Type of System		Cooling Capacity	Blower Capacity, m3/hr	Blower Rating	CWP Capacity	Room Temp. Maintained, oC	Cooling Tower Capacity	Cooling Tower Temperature Difference, oC	Operating Hours/Day	Year of Purchase
12			VAR	VCR	Cooling Capacity		HP	HP		Cooling Tower Capacity
13			VAR	VCR	TR		HP	HP		HP
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32	(Please use another sheet if necessary)
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34	CWP- Circulating Water Pump					VCR-Vapor Compression Refrigeration				Operational Units - Working Condition
35	TR- Tons Refrigeration					HP- Horsepower				Non-Operational Units- Stand by or Defective
36	VAR- Vapor Absorption Refrigeration
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39	Prepared By: (Name and Designation)								Approved By:
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42	__________________________________								__________________________________
43									Energy Efficiency and Conservation Officer
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