EUC DATASHEET
DATE / TIME
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Month
-
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
CONTRACTOR
COLLECT $
YES
WHICH PROGRAM?
EUC
TEN
WHICH UTILITY?
SOCAL GAS
LBG&O
CUSTOMER NAME
First Name
Last Name
ADDRESS
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PHONE #
-
Area Code
Phone Number
YEAR BUILT
NUMBER OF STORIES
SQ FOOTAGE
FT²
NUMBER OF BEDROOMS
NUMBER OF SMOKE DETECTORS
NUMBER OF CO DETECTORS
AVG CEILING HEIGHT
FT
HEALTH & SAFETY: Does the BPI Building Analyst show the ability to competently:
YES
NO
N/A
Identify potentially hazardous conditions/issues?
Identify moisture and indoor air quality issues?
Identify fire hazards within the home?
Use gas leak detector/bubble solution to identify potential issues?
Supply all proper safety equipment on hand (clean bag)?
Supply and use the necessary equipment (must be properly calibrated, & in safe working condition)?
Perform an assessment without damage to him/herself, the client, the home, equipment, etc.?
COMBUSTION SAFETY: Does the BPI Building Analyst show the ability to competently:
YES
NO
N/A
Conduct proper set-up of house/manometer/appliances/hoses/etc.?
Identify venting systems and potential problems?
Conduct a Worst Case Depressurization test?
Conduct heating system combustion safety tests?
Conduct DHW system combustion safety tests?
Conduct oven/stove/cooktop system combustion safety tests?
Conduct ambient CO tests?
Calculate and determine combustion ventilation air (CVA) needs?
NOTES:
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