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Example Blank Form <br /> Duct Leakage Test Form <br /> Customer Information: Test Conditions: <br /> Name: �� Date: 3 8 � <br /> Address: �� L� Time: <br /> City: <� ��b Indoor Temperature(F): <br /> State/Zip: <br /> Outdoor.Temperature(�: <br /> Phone: Floor Area(fr): <br /> Email: <br /> System Airflow(cfm): <br /> Cooling Size(tons): <br /> Building Address: (if different from above) Heating Size(btu): <br /> Street: Primary Location of <br /> Supply Ductwork: <br /> City/State: primary Location of <br /> Return Ductwork: <br /> Comments• <br /> Total Leaka�e Test Depress Press Outside Leaka�e Test Depress Press <br /> Test Pressure: �(Pa) Test Pressure: (Pa) <br /> Baseline Duct Pressure(optional): (Pa) <br /> Duct F'low Ring Fan Press Flow Duct Flow Ring Fan Press Flow <br /> Press.(Pa Installed (Pa) (cFm) Press. Pa) Installed Pa) (cfm <br /> ��s� ° <br /> �j rnp�,Q � ( Fan Model/SN: <br /> _� � 5 � Results• <br /> (.�Q S� <br /> �--U rVIG�� Outside Leakage(cfm): <br /> Fan Model/SN: <br /> Outside Leakage as% <br /> Results' System Airflow: <br /> � Outside Lealcage as% <br /> Total Leakage(cfm): 3� 3 y F1oor Area: � <br /> Total Leakage as% <br /> System Airflow: � <br /> ' Total Leakage as% <br /> F1oor Area: <br /> 80 <br />