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SEDGWICK HEATING & AIR CONDITIONING CO. HEATING �oBNo. 3S6Ys� <br /> 1408 NORTHLAND DRIVE,SUITE 310 • MENDOTA HEIGHTS,MN 55120 • (952)881-9000 TEST RECORD <br /> ADDRESS )vC/� \ � 'f�•�'tfS/C.. l�L. CITY C/�L L�C� <br /> OCCUPANT ✓ �l�' e ' ��� �� OWNER �e <br /> SOLD BY /`j"Y'�y J —--��"���G�. I NSTALLED BY ����1'`n�/� <br /> � <br /> MAKE �L�v��NX nC(' 7 ��,u{J MODEL /"���G V �!T �7C/� 3l L� <br /> L C / C. <br /> SERIAL NO. �� �� �r% I I Z INPUT `" � <br /> ��`S� CITY 0��F�O 9 �/ // <br /> THERNIOSTAT VENT SIZE <br /> VALVE ��'�� ���`/ TYPE OF LINEFi � <br /> D 6 " <br /> LIMIT 1�� LINER SIZE <br /> � - / �.______-----_ <br /> LIMITSETTING � ' FILTERS: SIZE �O �� S �I NUMBER <br /> FAN SETTING ' `�/ WIRING ��� P"/ <br /> PILOT TYPE /�� TEST TAG �� ) <br /> IGNITION MODEL '�✓ LIGHTING INST. <br /> PIIOT TIMING �I� / DATE TESTED ( ` � /� <br /> �AESSUAE �E�CENT CO2 ' <br /> 6 ��l C� � COMPANY TESTING �� �`v�`lC <br /> INPUT CFH PERCENT 02 � " <br /> /, O � /�-� <br /> STACK TEMR L/�/� l PERCENT CO ���p� NAME OF TESTER / / � � �� <br /> FORM 235(REV.10/10) FORM DIS7RIBUTION: WHITE COPY-,108 FILE YELLOW COPV-CItY <br />