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ADDRE:''r- <br />OCCUPANT <br />HEAT LOSS <br />SOLD BY <br />Electrical Work By <br />TYPE OF HEAT <br />MAKE <br />Model <br />Soria I <br />INPUT <br />HnI1_i <br />HEATING TEST RECORD :,,t x/0 -3 - <br />�A HTjG ST. <br />GA FA 1. HW A —STEAM <br />APT. FLOOR — :ITY <br />OWNER <br />SUBURB <br />— INSTALLED BY �l✓iiz.� __--__ <br />_ Gas Line By ,t <br />SPACE HTR. UNIT HTR. __OTHER <br />MAKE OF BURNER _ <br />Model <br />Max. BTU Rating — <br />MAKE OF FURNACE <br />Model <br />CONVERSION <br />Form 235 <br />CONTROLS <br />THERMO T <br />Heat Plug _ <br />Vent Size -k--- <br />Volvo <br />KIND OF LINER <br />SIZE�_NONE - <br />Limit <br />Draft Hood ✓ <br />Regulator <br />Limit Setting <br />Filters Size <br />Number <br />Fan Setting — <br />!�A <br />Chimney Location <br />n de f utside <br />Pilot Type <br />Chimney Construction <br />Pilot Make <br />L <br />Pilot Model <br />Smoke Bomb <br />Wiring <br />Pilot Timing ___, <br />��f''��" <br />Draft <br />Test Tog <br />L.W. Cut Off <br />Door Pressure <br />Lighting Inst. A <br />LIJ <br />Pressure <br />Percent CO2 <br />Date Tested <br />Input CFH <br />Percent 02Y,4 <br />Company Testing <br />Stuck Temp. <br />a <br />Percent CO L-� <br />Name of Tester <br />Form 235 <br />