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HOU HEATING TEST RECORD', <br />..-I / <br />ADDRESS /�'� �- - -CITY----.---SUBURB( OCCUPANT <br />-------_- ---------..__OWNER . L - -- ------------- <br />HEAT LOSS E,rTG. I ST--- - - -- --------- - - --- ---- <br />SOLD BY INSTALLED BY <br />Electrical Work By -- _ Gas Line B _-- -- -__-- - _-._-. - <br />TYPE OF HEAT GA _ FA --.HW _ STEAM ___-_ SPACE HTR. _ __ UNIT HTR. __. OTHER <br />GAS DESIGN CONVERSIOI' <br />MAKE t, ,. .t - - MAKE OF BURNER -- - - - --- - -- - ---- <br />Model_ - " 6�_— Model <br />Serial ���'r-1-yJ -- - _ Max. BTU Rating --- - -- --- - - -- ------__. - ------ <br />INPUT - - -- ----- MAKE OF FURNACE - - ---- - - - - -- --- - - -- - - <br />Model -- -- - ---- - <br />CONTROLS <br />r� <br />THERMOST T - Heat Plug -- - -- - - Vent Size <br />Valve - ------------- -- KIND OF LINE$.�C--- SIZE ; NONE <br />------ <br />--- --- <br />Limit __-_-_-- Draft Hood _y_- Regularor_-___ <br />Limit Setting _� ---- Filters Size - -Num <br />Fan Setting `'4 7 ! - Chimney Location Insid 7 Outside <br />Pilot Type � Chimney Construction --- _, ---- ---- ---------- <br />P i l of Make _ _�✓Li/h� -- __ <br />Pilot Model — Smoke Bomb _ Wiring <br />Pilot Timing -it _ Draft } Test Tog- <br />L.W. Cut Off __--__—__ _ Door Pressure_ -__ __ Lighting Inst. — <br />Pressure t —Percent CO2 - Date Tested <br />Input CFH Percent 02 — Company Testing _ <br />Stock Temp. Percent CO — Name of Tester <br />Form 235 <br />