Laserfiche WebLink
�f y ` / HO SE HEATING TEST RECORD C C� y <br />AODRFSi v U 0 '/✓ i ;AV, APT. FL __CITY G _ SUBURB C.1•�?_ <br />OCCUPRN i OWNER �_ _J_— <br />HEAT LO ATE T ST. _ <br />SOLD BY _. INSTALLED BY <br />Electrical Wo►k By —-------- - ----_- - Gas Line By <br />TYPEOF HEAT GA __ FA _ _ HW STEAM SPACE HTR. UNIT HTR. J- OTHER <br />GAS DESIGN <br />MAKE <br />Model <br />Ser i a 1 . <br />INPUT <br />MAKE OF BURNER <br />Model <br />Max. BTU Rating <br />MAKE OF FURNACE <br />Model <br />CONVERSION <br />CONTROLS � <br />THERMOSTAT 14 <br />_ Heat Plug _ Vent Size_ <br />Volvo __. -- _ _ - ---_ KIND OF LINER SIZE_ <br />__ . <br />Limit cZ�__—_ . _` Draft Hood Regularor <br />Limit Salting __. Filters Size N ber <br />Fan Setting Chimney Location Ins d %/ - ._- l .0 'de <br />Pilot Type Chimney Construction _ ..f�i�✓ <br />Pilot Make <br />Pilot Model — <br />Pilot Timing <br />L.W. Cut Off <br />Pressure ys r Percent CO2 S _ <br />Input CFH Percent 02 D �_. <br />Stuck Temp. Percent CO d <br />Form 235 <br />Smoke Bq b _ - Wiring <br />Draft �/} -----__-_-- Test Tag fir. <br />Door Pressure _ - Lighting Inst4jo <br />Date Tested <br />Company Testing) <br />Name of Tester <br />N CAN F <br />