Laserfiche WebLink
HO HEATING TEST RECORD`' �S <br />ADDRESS _ CITY _ _-__SUBURB <br />OCCUPANT - --- - OWNER - ---- -- --- ----- <br />HEAT LOSS _ �TG. NS <br />SOLD BY _--------.--INSTALLED BY <br />Electrical Work By --Gas Line BY _-�t�..�•-- _____._ _ _ _ __ __- __ <br />TYPE OF HEAT GA _ FA _ HW -__STEAM ______ SPACE HTR. -___.___UNIT HTR. _____OTHER <br />/I <br />GAS DESIGN <br />CONVERSION <br />MAKE -.MAKE OF BURNER <br />f a.. <br />Model _ - - - Model .- -- - ---- - --- --- - --- - <br />Serial Max. BTU Rating _ -- --_-__-- -- _- _-- - -- -- .-- <br />INPUT MAKE OF FURNACE .--_--.__------_---_----------- _ _--- <br />Model------------ ----- - ------ <br />{ CONTROLS �- <br />THERMOS/ Heat Plug _ Vent Size - <br />Valve -1! -�- .- KIND OF LINER _ SIZE _ ---NONE--- <br />Limit Draft Hood _ __io�-- Regularor <br />-- <br />Limit Setting 106 Fi Iters Size __-_ ___ __Number <br />ot <br />Fan Setting / ''mA19 Chimney Location I7-4 <br />sid __._ __ Outside <br />Pilot Type - :�tG� L- Chimney Construction ___�__--- <br />P i l o t Make��-��s't <br />Pilot Model - _-_. Smoke Bomb : --_ Wiring <br />Pilot Timing ' ---- Draft - _ _Test Tag— 7t AM <br />L.W. Cut Off Door Pressure L�/ —Lighting Inst. <br />Pressure - Percent CO2 Date Tested ____ ___t r <br />Input CFH _ r �__ Percent 02 Company Testing <br />Stack Temp. _- Percent CO Name of Tester <br />Form 235 <br />