3. On site M&V Onsite Baseline information (all tech) V

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Before you start you'll need:

Details of the company paying for the upgrade
Details of the location, purpose, metering on the site where the upgrade will be undertaken
An understanding of the major energy using equipment on site
Details of the upgrade you are proposing to undertake

2

Service provider details

Your company Name

Your first and surname

Your job title

Your email address

Your contact phone number

3

Site AddressIf different from the energy saver address, please enter the address where proposed upgrade will take place

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

4

The space currently conditionedPlease estimate the SQM of conditioned space for each space type below

Lobby/entrance to outside (SMQ)

Office space (SMQ)

Board/meeting rooms (SQM)

Other common areas / corridors

Air conditioned manufacturing areas (SQM)

Air conditioned storage areas (SQM)

Cooking/kitchen areas (SQM)

5

Site changes in the LAST two yearsNOTE and give the approximate DATE for any of the following that have occurred

All major maintenance or changes to energy using equipment (E.g. HVAC, solar PV, lighting, motors, compressors, VO, fuel switching)

Major changes to the activities on the site (e.g change in tenancy, or production line changes)

Major changes in the amount of space conditioned (e.g renovations, expansions, closures)

Changes in site operating hours or temporary site closures

Unusual changes in production volumes

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Site changes in the NEXT two yearsNOTE and give the approximate DATE for any of the following that have occurred

All major maintenance or changes to energy using equipment (E.g. HVAC, solar PV, lighting, motors, compressors, VO, fuel switching)

Major changes to the activities on the site (e.g change in tenancy, or production line changes)

Major changes in the amount of space conditioned (e.g renovations, expansions, closures)

Changes in site operating hours or temporary site closures

Unusual changes in production volumes

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Current estimated implementation dateApproximately when would the upgrade currently be expected to take place

Date

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Existing HVAC zoning and controls

Describe the control systems

Describe the zoning setup

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Photo of master zoning thermostatPress the camera icon below take a photo using your device, and "Next" to upload

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Existing HVAC Components to be replaced

Make and model of existing external units

Heating type

Location of existing external units

Number of existing external units

Nominal capacity of existing external units

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Photos of existing units and compressor nameplate photos

Please use this app and your device camera to take and automatically upload:

one photo of all existing external units together; and
one photo each of their compressor nameplates

Press NEXT to UPLOAD each image when you are happy with it.

Here is an example of what the compressor nameplate photo shoud look like:

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Photo of existing external unitsPress the camera icon below take a photo using your device, and "Next" to upload

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Compressor #1 name plate photoPress the camera icon below take a photo using your device, and "Next" to upload

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Compressor #2 name plate photoPress the camera icon below take a photo using your device, and "Next" to upload

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Compressor #3 name plate photoPress the camera icon below take a photo using your device, and "Next" to upload

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Compressor #4 name plate photoPress the camera icon below take a photo using your device, and "Next" to upload

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Compressor #5 name plate photoPress the camera icon below take a photo using your device, and "Next" to upload

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Compressor #6 name plate photoPress the camera icon below take a photo using your device, and "Next" to upload

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Compressor #7 name plate photoPress the camera icon below take a photo using your device, and "Next" to upload

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Compressor #8 name plate photoPress the camera icon below take a photo using your device, and "Next" to upload

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Compressor #9 name plate photoPress the camera icon below take a photo using your device, and "Next" to upload

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Compressor #10 name plate photoPress the camera icon below take a photo using your device, and "Next" to upload

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Electricity meter Number(s) (NMI)Please provide the NMIs and details for ALL electricity meters at the project site (these can be found on the meter or the electricity bill)

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Photo of electricity meter boardPress the camera icon below take a photo using your device, and "Next" to upload

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Gas meter Number(s) Please provide the meter number and major equipment connected to each gas meter on site

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Photo of electricity meter boardPress the camera icon below take a photo using your device, and "Next" to upload

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Total cost to the Energy Saver (not including GST)If project costs are not yet finalised an approximate value is okay.

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How will the original energy saver receive their benefit from the subsidy?:

They will receive a discount on the cost of the project

The will receive it directly from [ACP NAME]

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Estimated Annual Savings (MWh)Please estimate the total annual energy savings for the project.

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Are there any logistical, production metering or other issues that might affect the timing, feasibility, cost or measurement of this upgrade opportunityBriefly describe if applicable

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* This field is required.Energy savings scheme eligibility check

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