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HOUSE F EA1 LNG TEST RECORD <br />ADDRESS ��ro`1Z.- APT. FLOOR _ <br />OCCUPANT <br />HEAT LOSS <br />SOLD BY <br />Electrical Work By <br />TYPE OF HEAT <br />DA T E HTG. INST. <br />GA FA HW <br />OWNER <br />INSTALLED BY <br />Gas Line By — <br />CITY <br />STEAM SPACE HTR. UNIT HTR. OTHER <br />GAS 7SIGN <br />MAKE _MAKE OF BURNER _ <br />Model L) _dam �:5`rT T �Q Model — <br />Serial `��� CL%4_.1 _— Max. BTU Rating — <br />INPUT 43 MAKE OF FURNACE <br />Model <br />CONTROLS <br />THERMOSTAT Heat Plug - i Vent Size _ <br />Volvo KIND OF LINER <br />CONVERSION <br />SUBURB C�•= �-�,` <br />SIZE —NONE <br />Limit Draft Hood �Regularor <br />Limit Setting �ZC 0 Fi Iters Size - s �" .Ll Nurr,ber <br />Fan Setting Chimney Location Inside v Outside <br />Pilot Type- Chimney Construction <br />Pilot Make <br />Pilot Model <br />Pilot Timing <br />L.W. Cut Off _ <br />' Pressure Percent CO2 " <br />Input CFH Percent 02 <br />Stack Temp. r C Percent CO <br />Fore, 235 <br />Smoke Bomb _ <br />Draft l') <br />Door Pressure <br />Date Tested <br />Company Tea <br />Name of Tom <br />Wiring _ <br />Test Tog L-- <br />Lighting Inst. �� <br />