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P S D MECHANICAL CONTRACTOR <br />HOUSE HEATING TEST RECORD <br />ADDRESS c i2�, �t , .� �..� , L� ....JS CITY'' <br />OCCUPANT <br />OWNER <br />HEAT LOSS DATE HTG. INST. <br />SOLD BY INSTALLED BY <br />Electrical Work By Gas Line By <br />TYPE OP MEAT GA FA_. HW STEAM— SPACE HTR..UNIT HTR. <br />nA& DESIGN <br />MAKE 1 <br />Model l % 6 C; S <br />Serial <br />INPUT <br />��,� � CONTROLS <br />THERMOSTAT Heat Plug <br />Valve <br />Limit — --- -- ---- <br />Limit Setting <br />Fan Setting - - --- --- <br />Pilot Type.—`4 <br />Pilot Make - ---- <br />Pilot Model - <br />Pilot Timing <br />L.W. Cut Off _ --- ---- - ---- <br />MAKE OF BURNER JLJ " <br />Model _ <br />Max. BTU Rating <br />MAKE OF FURNACE <br />Model <br />RSION <br />Vent Size s <br />KIND OF LINER SIZE NONEI <br />—_ Draft Hood _ —. - . — Regulator <br />Filters ' � _ . Number -- <br />Chimney Loca:-,. Isi& Outside <br />Chimney Court _. <br />Smoke Bomb Wirins <br />Draft Test Tag of <br />___-- Door Pressure Lighting Imt. <br />Pressure 3 (7 .. Percent COZ Date Tested _)' - ' W �5 • b <br />Input CFH. IL2c" C ` ' Percent Oz Company Testing Q �t y <br />Stack Temp. y )-<, Percent CO Name of Tester 17 4, <br />Form 235 <br />