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SEDGWICK HEATING & AIR CONDITIONING CO. <br />W10 WENTWORTH AVENUE SOUTH • MWVEAPOLIS. MN 55420 • (812) 881.9000 <br />ADDRESS <br />OCCUPANT <br />SOLD BY <br />MAKE <br />SERIAL NC <br />THERMOSTAT e <br />VALVE / 5 <br />LIMIT <br />s <br />LIMIT SETTING G <br />FAN SETTING /�G `e 31 / <br />PILOT TYPE <br />7' � �,� <br />PILOT TIMING - �%!!if�C 2�✓'CL�-Gf �. e�-l-e <br />PRESSURE ` PERCENT CO, _ <br />INPUT CFH ! O PERCENT O, <br />STACK TEMP 11 �- PERCENT CO <br />d 7o % <br />HEATING ,�,B No. Z •�- <br />TEST RECORD <br />CITY l/_ <br />OWNER <br />INSTALLED BY <br />MODEL <br />INPUT 4:y <br />VENT SIZE <br />TYPE OF LINER i <br />LINER SIZE <br />FILTERS: SIZE `_ NUMBER <br />WIRING <br />TEST TAG v <br />LIGHTING INST <br />DATE TESTED _ C/ n <br />COMPANY TESTING <br />NAME OF TESTER <br />FORM IDS REV I I IM FORM DISTRWTCN W►MTE COPY X* ME YELLOW COPY MY <br />