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ur <br /> P � HEATING TEST RECORD ,) F Ia., _,,-„/. <br /> p <br /> ADDRESS �� \A 1/4.1).1).., r:_c ;L`t• '� S3 (7 <br /> _A APT. FLOOR CITY SUBURB <br /> OCCUPANT \_-:\i .. C. OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY <br /> ' Electrical Work By Gas Line By <br /> TYPE OF HEAT GA FA—&_HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE Le/VOx MAKE OF BURNER <br /> Model (2.*:' R ;.'. 1 I/ -j -�jI( ti -- I oModal <br /> Serial '. r1 y L 1 P, Max. BTU Rating <br /> INPUT i C{'i� C <; MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> THERMOSTAT¢4t'v.:. ).--k`Pleat Plug Vent Size <br /> Valve -' 1 t KIND OF LINER SIZE NONE <br /> Limit H''...-' `1C--I i. t Draft Hood Regulator <br /> c <br /> Limit Setting r C" C' Filters Size_ Number <br /> Fan Setting «-'C! e" Chimney Location Inside Outside <br /> Pilot Type .. Chimney Construction <br /> Pilot Make 5csa....... <br /> Pilot Model 'C'� ,i- Smoke Bomb Wiring <br /> Pilot Timing C• , -> Draft Test Tag <br /> L.W. Cut Off _ Door Pressure Lighting Inst. <br /> Pressure -a•` Percent CO2 15'/.5 Date Tested (C'( (`11t(S <br /> Input CFH I ('1 Percent 02 S'7 Company Testing _ t ‘�'<-�-t <br /> Stock Temp. <br /> q 3 D f P1 <br /> Percent CO Name of Tester LAWN �- LCkQSCCv\ <br />