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OUSE HEATING TEST RECORD <br />/>.tt^srrx^ <br />O/t^A/O <br />ADDRESS__ <br />OCCUPANT. <br />HEAT LOSS- <br />SOLD BY__ <br />S i Q « APT____ <br />CT ^OWNER. <br />FLOOH.CITY.SUBURB. <br />NST.. <br />Electrical Work By— <br />TYPE OF HEAT GA. <br />oner :or <br />FA y HW_____STEAM SPACE HTR. <br />GAS CO. METER BAD <br />INSTALLED BY_______ <br />Gas Line By <br />UNIT HTR.-OTHER. <br />MAKE- <br />Model. <br />Serial- <br />INPUT. <br />GAS DESIGN CONVERSION <br />u. V <br />JAAKE OF BURNER__ <br />-Model _ _________ <br />Max. DTU Rating___ <br />-MAKE OF FURNACE- <br />Model______________ <br />THERMOSTA <br />Valve______ <br />Limit_______ <br />CONTROLS . a <br />O --j <br />-Vent Size. <br />.KIND OF LINER : <br />-Draft Hood. ^ <br />Limit Setting_____ <500- <br />Fan Setting__ <br />Pilot Type. <br />- L-S {I <br />Pilot Make- <br />Pilot Model- <br />Pilot Timing. <br />L.W. Cut Off. <br />Filters^^sM-Size__ <br />______ SIZE- <br />- Regulator.; <br />__ Number. <br />NONE-X <br />Chimnfjy Location insid <br />-Chimney Construction. <br />le <br />puaSs <br />Outsid^ <br />^ Draft <br />Smoke Bomb.oCc <br />-Door Pressure. <br />.Wiring__ <br />-Test Tag__________ _____ <br />-Lighting Inst___V yrxTTQy <br />7VTInput CFH^_____ ^ <br />Stack Temp. <br />Percent C02.~7.0 <br />Percent 02. <br />Percent CO ______ <br />-Date Tested_____ <br />-Company Testing. <br />-Name of Tester —