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�"�t/73J � <br /> SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. �Z�� S <br /> 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (612) 881-9000 TEST RECORD <br /> ADDRESS ��� �' �`�,��DALC CITY� ��`�v�� <br /> OCCUPANT �L� � E"��/�/c�/�K-SL'� OWNER __ ���I�L��LKcSO/v <br /> SOLD BY v �r�1�i4ilCK� INSTALLED BY �F..�C�f/�1�.(�•_ <br /> MAKE ��+✓��G MODEL Gal c��— �� <br /> SERIAL NO. S��Z-�'�C`�O Zf� INPUT_ 0`� � ��� <br /> THERMOSTAT HO.v�`I f.�/�LL CH�C.��THf�J�I VENT SIZE_ �<< P�J L <br /> VALVE GU�l� TYPE OF LINER /V/ �Q. <br /> LIMIT�—��Z� �i�f LL LINER SIZE ��� <br /> LIMiT SETTING Z�O FILTERS: SIZE f���,5 NUMBER <br /> FAN SETTING__ / =3J WIRING �� <br /> PILOT TYPE _ CLCGT��UNf�. TEST TAG <br /> IGNITION MODEL ��'/9rC�i��T LIGHTING INST. <br /> PILOT TIMING_ ��ll Sj�i✓T �!�� <br /> p DATE TESTED � ( � <br /> PRESSURE �`� (t� �' PERCENT COz �� <br /> � COMPANY TESTING S�� Ccl� ��-�-- <br /> INPUT CFH � PERCENT Oz �/ <br /> STACK TEMPr�` "' PERCENT CO � NAME OF TESTER � ���� <br /> FORM 235(REV.Q/B9)�-� CQ S FORM DISTRIBUTIOM WHITE COPV-JOB FlLE VELLOW COPV-CITV <br /> �� /f ����' ��.. <br /> �\_.___ (.. ��V��� <br /> �l:al_.�:�I-..=!).J�/(��-. � <br /> � <br /> N 0 V � 3 :��s��� <br />