ABB inc.

16250 West Glendale Dr New Berlin, WI 53151

Warranty Registration Form F-3BUAQ981902B Rev 8, Jan. 16, 2007

Certified Start-Up Extended Warranty Registration

This form is to be used by factory authorized personnel only for ABB drive product warranty registration as part of the Certified Start-Up program. This form must be completed in it's entirety and submitted to the ABB drives Technical Support within 10 days from start-up to receive warranty extension. For AC & DC drives, email to DrivesSupportLine@us.abb.com with subject line "Certified Start-Up". For AC drives only, we will continue to accept faxed forms @ 262-780-5135, for the near term. * All procedures and requirements as documented in the user Manuals for the product you are commissioning must be followed.

End User installation site

Company Name Contact Name

Start-Up Date:
Contact Phone

3-11-13

Baystate Medical Center bldg 3300

Street Address

Rick Haley
City

4136369761
State Zip Code Country

3300 main st Purchased From

Company Name City

Springfield
Supplier Type:
State Contact Name

MA
Contact Phone

USA

Flow Tech
Model Number (Type Code)

South Windsor

CT
Serial Number

Jim Lewis

860-291-8886
Software Revision code

Drive Product Information ACH550UH072A4 Application Information

Industry type Application type Drive control mode Operation mode

2131002575

313D HEX

HVAC Motor Information Select motor type Motor HP: 50

Fan

Speed Control

Scalar

AC motor Voltage: 460 RPM: 1775 FLA: 60 Freq: 60

Installation Checks - Mechanical Mechanical Installation Cable Connections Proper Grounding Input Fuses Wire run to/from motor Motor cable length Installation Checks - Electrical Drive disconnected - Megger Cable/Motor: Megger test voltage = Input Voltage @ Base Spd L1-L2= L2-L3= L3-L1= T1-T2= T2-T3= T3-T1= 482 484 481 452 453 451

Control (I/O, Feedback) Ambient Temperature Drive Unit cooling / Air flow Motor disengaged Safe to operate machine AutoTune completed
Reading

60-70F

Reading

T1-PE = T2-PE =

T3-PE =

Input Current @ Base Spd

Output Voltage @ Base Spd

Output Current @ Base Spd

L1 = L2 = L3 = T1 = T2 = T3 =

40 41 42 49 49 50

Additional Comments:

AHU-4-SF readings recorded at 60hz. Input fuses changed, original VFD is NG, sent back for warranty Fuses=JJS-100

Performed by:

Derek Labbie

Registration No: 2506447

By submittal of this form you commit that all information provided is accurate to the best of your ability, provided to the customer, and the requirements as listed here and in the product user Manual have been completed.