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�H`O�USE HEATIINI <br /> TEST RECORD P-Ro <br /> ADDRESS L j0 D�" t ` <br /> APT. FLOOR CITY SUBURB <br /> OCCUPANT C� r OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY _ Q <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA FA_'2_4--HW STEAM SPACE HTR. UNIT HTR. _ OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE ���r�� r MAKE OF BURNER <br /> Model 5 C O�� S C- Model <br /> Serial �a9 Max. BTU Rating <br /> INPUT 06*1 MAKE OF FURNACE <br /> Model <br /> .� CONTROLS i. <br /> THERMOSTAT — Heat Plug Vent Size <br /> Valves 1-X- KIND OF LINER �% <br /> SIZE NONE <br /> Limit <br /> Draft Hood Regulator <br /> Limit Setting 1:740 Filters Size Number <br /> Fan Setting L Chimney Location Inside X Outside <br /> Pilot Type , Chimney Construction <br /> Pilot Make ' 6T <br /> Pilot Model �y Smoke Bomb Wiring <br /> Pilot Timing 114 ��'�' Draft Test Tag <br /> L.W. Cut Off / Door Pressure Lighting Inst. <br /> Pressure 7 �`'� 'C Percent CO2 016 Date Tested <br /> Input CFH Percent 02 N Company Testing <br /> Stack Temp. 3 W TE Percent CO Name of Tester <br /> Form 235 <br />