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� <br /> SEDGWICK HEATING & AIR CONDITIONING CO. � HEATING JOB NO. ��� <br /> 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS,MN 5542 �• (952)881-9000 TEST RECORD <br /> ' �� � <br /> ADDRESS �� C� �� CITY �/ <br /> OCCUPANT OWNER (' `� r` <br /> SOLD BY —�C"' c i✓' C/, J�'�E' INSTALLED BY � �����C l /�� <br /> , A) � i / <br /> MAKE /�-'_� MODEL `, L� � � ��`� �//`�� <br /> SERIAL NO. ��/ `� ��l J '��A� � INPUT `- ����./ <br /> � <br /> THERMOSTAT VENT SIZE <br /> �l ��// <br /> VALVE �Q�`��= � '�L L� TYPE OF LINEA ,�r��� <br /> ,/ L�' ��l <br /> LIMIT �'r•� LINER SIZE <br /> LIMITSETTING /�� FILTERS: SIZE ��`�Xv`���'"'',� NUMBER <br /> FAN SETTING �'�'�� ! ' WIRING 'y�' '�' L'���j^-' <br /> PILOT TYPE C,/�'"`� ���� I TEST TAG ✓ <br /> LE s�./�,C>� 1/ <br /> IGNITION MODEL LIGHTING INST. <br /> PILOT TIMING �� 5�l/n� � ,�'_ � , � 7 <br /> ---> •� <br /> �l� DATE TESTED <br /> PRESSURE `- 1'~ �'< <-.,PERCENT CO2 ''� ,y� <br /> U COMPANYTESTING "��r�"'/ �' �"� ����� <br /> INPUT CFH �� PERCENT OZ � �� <br /> STACK TEMR � ��� PERCENT CO � `�`� � � NAME OF TESTER �- � <br /> FORM 235(REV.11/69) FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COPY-CITY <br />