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HOUSE HEATIN� TEST RECORD <br /> ADDRESS—c�lo n� �n r�� ��'LS``C-� �r l�l � APT FLOOR-- CITY�..CQ.l10 SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOS � DATE HTG. INST. GAS CO. METER BADGE # <br /> SOLD BY INSTALLED BYS�-'`�'�+��'�T'�rn� <br /> Electrical Work By Gas Line ey <br /> TYPE OF HEAT G�— F�— HW STEAM— SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE �T�L�,�-�F. MAKE OF BURNER _ <br /> Model Model - <br /> Serial �3 "'�I jf�„`_"� � Max. BTU Rcting <br /> INPUT G �, n t�� MAKE OF FURNACE �!�11f` �.Q9� <br /> Model <br /> CONTROLS <br /> THERMOSTAT � Heat Plug Vent Size <br /> � � ��� <br /> Valve KIND OF LINER SIZE NON <br /> Limit Draft Hood Regulator <br /> limit SeNing Filters Size �� �a <�� C Number <br /> Fan Setting �„ Chimney Location Inside Outside <br /> Pilot Type C�-� • �d � � Chimney Construction - - <br /> Pilot Make <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timin� �.,�.,� Draft Test Tag <br /> L.W. Cut Off Door Pressure Lighting Inst- - <br /> ,�.. �s <br /> Pressure � ���— Percent CO2�Date Tested - - <br /> Input CFH Percent 02 Company Testing <br /> Stack Temp. Percent CO �—Name of Tester <br />