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� --�-�..o-.----R, -�., --T_-_- --;-----�.-�--�-- <br /> , � , , <br /> House Heating Test Record <br /> Address '� �-f • _r � , 't, . r`r" �1Ca4'1 Apt. Floor f'`-;1�� � <br /> , _ <br /> �,- City _ , -?�. �' �_�a Suburb <br /> Occupant �� �,-- t'ti�� �: Owner � � � �i� i i-t I� l��t r'_...-L-- E-�� j� „__- .- <br /> Heat Loss Date Htg. Inst. ��' ` ' � Gas Co. Meter Badge <br /> S o I d By �� �� t't��- �����, (C�l�� Installed By `� . Y�'� i <br /> Electrical Work By �-� �r j� �: ! �> r" b''� Gas Line By `�;f-, ,n�i � <br /> Type of Heat GA FA �` HW Space Htr. Unit Htr. Other <br /> Gas Design Conversion <br /> � Make of Bumer Model <br /> Make �,-o C,<� !�'�o� n Model�'� ;��- .� <br /> Max BTUh rating <br /> Seriai �l��"?�4i���. Input ���f1r"X' �-;�� ;' <br /> � Make of Fumace Model <br /> Controls <br /> � Verrt S¢e <�� � Knd of Liner <br /> -r' <br /> Thermostat -s `�;-`r-� Heat Plug r `�3 <br /> ;� S¢e None <br /> Valve ,=?�� ,�� t � Limit � ��k c::.� 7 ,n`;��i c t1 t� 5rE j ` ^ <br /> Draft Hood �� � ��� g � � <br /> ,� Regulator C, � <br /> Lim�Setting �?�G;'' Fan Set6ng _ �s�- !� � ^ <br /> � <br /> Filters Size � x`".=�x �^ Number / <br /> Pik�-Type � `", '� Pilet Make ,��: y'�- ��;�f j„ <br /> �� Chimney Location Inside j :� Oufiside <br /> Pilot Model � � � � � � Pilot Timing ;7 �`�s t� v.�. -� r- <br /> 7 Chimney Construction :`=_�{-�;.,�L <br /> L.W.Cut off <br /> Smoke Bomb wring ; <br /> Pressure �r �� Percent COZ �,_% Input CFH ./.,-�t�-96 <br /> Draft;-t ���,• i Test Tag Door Pressure <br /> Percent OZ ► r_: 96 Stack Temp t "%�`" Percent CO �:� % <br /> Date Tested �� �.l-{ - `� � Compan - <br /> � <br /> Name of Tester <br /> White=Office Canary=InspectoNCity Pink=Jobsite <br />�. , . _ w �... _ <br />