HomeMy WebLinkAbout1982-07-26 House Heating Test RecordHOUSE HEATING T£ST RECORD
ADDRESS.
OCCUPANT.
HEAT LOSS-
SOLD BY__
'+tCsWS^^
.APT____
.OWNER.
FLOOR.CITY.SUBURBi^E-^X^iO.
INST..
Electrical Work By_
TYPE OF HEAT GA.
'll -TiiC "or
FA.X HW.STEAM.
.GAS CO. METER
.INSTALLED BY__
.Gas Line By____
fm
SPACE HTR..
____ (<
UNIT HTR._OTHER.
MAKE.
Model.
Serial-
INPUT.
GAS DESIGN
LxHOtjpV.____________
CONVERSION
^'b>jCXsc>T C'ii
-.MAKE OF BURNER-
—Model __ ______
— Mox. BTU Sating _
-MAKE OFtBORNACE
Model_____________
THERMOSTAT
Valve______-
Limit_______C
CONTROLS
Heat P,liiq y CaMeat Rlua__y.-Vent Size_____
-KIND OF LINER.
-Draft Hood.
Limit Setting-
Fan Setting_
Pilot Type___
Pilot Make__
Pilot Model-
Pilot Timing-
Cut Off.
i?>\a iiEsras ____SIZE-
Regulator.
. Number.
noneX.
I
___ Outside ___
________________. _ Smoke Bomb.
Drnft________
.Door Pressure.
-Wiring______
-Test Tag____
-Lighting Inst.
ILL
Input CFH^_____________
Stack Temp-------P.
Percent C02.
Percent 02-
Percent CO _
.Date Tested_____
-Company Testing.
.Name of Tester __rv-Cvyh^
OUSE HEATING TEST RECORD
/>.tt^srrx^
O/t^A/O
ADDRESS__
OCCUPANT.
HEAT LOSS-
SOLD BY__
S i Q « APT____
CT ^OWNER.
FLOOH.CITY.SUBURB.
NST..
Electrical Work By—
TYPE OF HEAT GA.
oner :or
FA y HW_____STEAM SPACE HTR.
GAS CO. METER BAD
INSTALLED BY_______
Gas Line By
UNIT HTR.-OTHER.
MAKE-
Model.
Serial-
INPUT.
GAS DESIGN CONVERSION
u. V
JAAKE OF BURNER__
-Model _ _________
Max. DTU Rating___
-MAKE OF FURNACE-
Model______________
THERMOSTA
Valve______
Limit_______
CONTROLS . a
O --j
-Vent Size.
.KIND OF LINER :
-Draft Hood. ^
Limit Setting_____ <500-
Fan Setting__
Pilot Type.
- L-S {I
Pilot Make-
Pilot Model-
Pilot Timing.
L.W. Cut Off.
Filters^^sM-Size__
______ SIZE-
- Regulator.;
__ Number.
NONE-X
Chimnfjy Location insid
-Chimney Construction.
le
puaSs
Outsid^
^ Draft
Smoke Bomb.oCc
-Door Pressure.
.Wiring__
-Test Tag__________ _____
-Lighting Inst___V yrxTTQy
7VTInput CFH^_____ ^
Stack Temp.
Percent C02.~7.0
Percent 02.
Percent CO ______
-Date Tested_____
-Company Testing.
-Name of Tester —
l^' FlooP-
-UpH^ '
HOUSE HEATING TEST RECORD
P.Tif-
ADDRESS-
OCCUPANT
HEAT LOSS.
SOLD BY—
apt__
[owner.
FLOOR.CITY.SUBURB.
n^-mMINST.
Electrical Work By—
TYPE OF HEAT GA.
0 c Lo:
FA^ HW____STEAM_____SPACE HTR.
.GAS CO. METER BAD
.INSTALLED BY
.Gas Line By___C?.
UNIT HTR.OTHER.
MAKE-
Model.
SerioL
INPUT.
GAS DESIGN
gy=<.«TtLl 0 o~»3 Q
CONTROLS
THERMOSTAt2AfifiiialM®l
Valve-
Limit—
Limit Setting.
Fan Setting —
Pilot Type ----
Pilot Make —
Pilot Model-
Pilot Timing-
Off.
rAf^CfW\t!sT'rtt5CttrfAnt Pbg.
P -
-fetigCLQ
*^r-br
A L (^O
f ^prressure.
Input CFH-----
Stack Temp.
-w
.'Scrv-
Percent CC2
Percent C i
Percent CO
g .iQ-
CONVERSION
i^AKE OF BURNER
-Model____ __
.Max. CTU Ruling ____
-MAKE OF FURNACE___
Model -------------------------
-Vent Size.
A l*
.KIND OF LINER________________ , SIZE-
-Draft Hood____(5 Regulator.
.FiltersSize ^— Number.
NONE_JL.
.Chimney Location
-Chimney Construction.
Inside.
4-
<!v5»-s"&Outside.
.Smoke Bomb.
Draft_______
-Wiring.
.Test Tag
-Door Pressure-Light i n g 7n7t[ZI5iSZ^^^55i
.Date Tested_____
.Company Testing.
.Name of Tester