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Installation Record
SECTION XIV - Installation Record
Measured
Rate
of
Input:
Thermostatic Mixing Valve Setting:
Measured Domestic Outlet Temperature:
Combustion Readings:
CO
2
O2
CO
The following items were completed during installation:
Installation instructions have been followed and completed
Check-out procedures have been followed and completed
Information regarding the unit and installation received and left with owner / maintenance
personal.
Installer Information
(Company)
(Address)
(Address)
(Phone Number)
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
_________________________________________________________________
%
%
ppm psig
gph
Nozzle Size
Pump Pressure
Nozzle Angle